HLN October 2013 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

e lthy l October 2013 • FREE

ng ews Also available at hlntoledo.com

The tinnitus treatment team Also in this issue: • Look your best for the holidays • Snoring makes estranged bedfellows • Fine dining with diabetes • Dixon Center advocates for service members • Cataract Q&As

Discover the Catholic school difference

I had a heart attack, the people at Mercy “ When knew time wasn’t on my side. ” Learn more at mercygetsme.com

Find a physician at 1.888.987.6372

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Look your best for the holidays! V

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused from prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The Thermage CPT procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging skin on the neck, upper arms, abdomen, and jowls. The Thermage CPT procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis while the epidermis is cooled and protected. This heating of the dermis causes immediate collagen contraction followed by new collagen production over a period of time. The procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only one treatment, tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain! The Thermage CPT system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crows’ feet, and the “sleepy look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas with resultant diminished lines and a more “wide awake” and less tired appearance. Is your dermatologist a dermatologist and is he/she board certified? Individuals seeking diagnosis and treatment of skin cancer and other skin conditions should determine if their dermatologists are indeed dermatologists and board certified by the American Board of Dermatology. Not surprisingly, individuals seeking care of their skin conditions may receive care by physicians, nurse practioners, and physician assistants who may call themselves “skin specialists” and dermatologists. These physicians and others may do so without completing a formal dermatology residency. Many physicians who are board certified in fields unrelated to dermatology may be practicing dermatology. Now there are training programs being developed to permit nurse practioners to receive a doctorate of nursing and call themselves “Doctor” as would a PhD in a specialized field. These nurse practioners (NPs) are NOT doctors of medicine as is a board-certified dermatologist. Certification by the American Board of Dermatology is the consummate title addressed to a dermatologist based on their education and experience. If you see a “skin specialist,” it is your responsibility to ask of their credentials. Remember; a board-certified dermatologist is a medical doctor who has completed a minimum of twelve (12) years of training (four years of college, four years of medical school, and four more years in an internship and a formal dermatology residency program) to even become eligible to take the testing for board certification by the American Board of Dermatology. Individuals seeking diagnosis and proper treatment of their skin disease can depend on board-certified dermatologists for their care.

2 October 2013 / Healthy Living News

This is also performed with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juveder m, Radiesse, and others, to “fill” deep smile lines and the marionette (sad) lines from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! These products are also very useful for producing a more full but normal appearance to lips that thin as we age. Since these products are combined with a numbing agent, the pain is minimal. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure in which Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis that your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. Dr. Handler’s office now has available a new camouflage makeup that is excellent to cover red or blue veins on the face or anywhere else on the body. It is also very helpful to camouflage and cover blue, red, or yellow bruises from prior cosmetic procedures, and especially useful for facial, neck, and

Before

After

chest redness secondary to the diagnosis of rosacea. Remember; this fall and winter is the perfect time for eliminating unwanted hair of men or women on the face, chest, underarm, back, bikini, and leg areas with a special laser for hair removal. This is done exclusively by Dr. Handler with little pain and NO downtime or restrictions following the procedures. ❦

For more information about the above-mentioned procedures or products to reduce the signs of aging, please call Dr. Handler’s office at 419-885-3400. His staff will be able to address your questions or concerns concerning these procedures. Also, please visit Dr. Handler’s web site at drharveyhandler.com to view many before and after photographs of patients who have had these procedures performed. And speak with his office staff to inquire about specials on many cosmetic procedures and products to diminish the signs of aging.

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Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

Editorial office:

To submit an article or announce an event: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-754-1339, fax 888-506-5790; email: editorhln@bex.net. Deadline for editorial submissions is the 10th of the month preceding publication.

Publisher Kevin O’Connell Editor Jeff Kurtz

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Layout and Design Jan Sharkey Distribution Jim Welsh • Alison Foster Dominion Distribution Distributech - Toledo Copyright © 2013 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

October 2013 • Vol. 18, Issue 10

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

TAKING CARE OF YOUR LIFE

2 5 7 9

10 Power up Toledo at Super Fitness! 22 Health Crossword, by Myles Mellor 34 Beyond wills: other essential elements of an estate plan, by Scott D. Brown 37 Running tips for beginners, by Amanda Manthey 44 A Walk in the Park Mimi hears a moo by LeMoyne Mercer

Look your best for the holidays! Effective tinnitus treatment takes a team approach Insights on individualized breast cancer care Snoring makes estranged bedfellows—but help could be an office visit away 20 Focus on concussion with Heartland Rehab 24 Tortuosity and varicosity: understanding why varicose veins happen and hurt, by Munier Nazzal, MD, and Matthew Weis, MD 26 Nobody’s Perfect Where did my injector go? by Sister Karen Zielinski, OSF 28 Cataract questions and answers, by Bennett Romanoff, MD 30 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 33 Combat acupuncture, by Douglas Schwan, DC, Dipl Ac 39 Double knee replacement can’t hinder highly motivated Laurels rehab guest 40 Spiritually Speaking Where is God in all this? by Sister Mary Thill 42 The Academy Corner Why don’t I sleep like I used to? by Neha Yakhmi

CHILDREN & PARENTING 14 Saint Ursula Academy: education beyond the books 15 Catholic education—values received, excellence achieved 16 All-male environment conducive to transforming boys into Christian gentlemen 17 First graduates of NDA International Baccalaureate Program have outstanding results 18 Ignite your child’s potential with tennis by Mark S. Faber, USPTA P-1 43 Help available for children with FASD by Christine A. Holliday

Travel Editor LeMoyne Mercer Sales Robin Buckey

Dear Readers, Thank you for picking up the October issue of Healthy Living News. It’s humbling to consider that this issue begins our 18th year of publication in the Toledo area and that we continue to thrive in this day of struggling print media. We fully appreciate how fortunate we are to have earned the ongoing support and trust of our loyal readers, contributors, and advertisers. It’s our pledge that we will continually strive to improve our product and seek ways to build on our success. We’re particularly thrilled that this year’s complete overhaul of hlntoledo.com has attracted so many new readers and offered even greater value to our advertisers. Once again, we’re confident that this issue offers something for everyone. For example, our cover story (p. 5), courtesy of our friends

FOOD & NUTRITION 12 A few words from the Diabetic Meal Planner’s kitchen, by Wayne Goodwin 41 Eating Well Nutrition and breast cancer basics by Laurie Syring, RD/LD

OUR COMMUNITY 20 Dixon Center enables veterans and their families to thrive where they live 23 It’s finally here! by Jessica Derkis 31 ProMedica Toledo Hospital Breast Care Center: on the cutting edge of skill, technology, and compassion 47 Mercy launches convenient, cutting-edge imaging services in Arrowhead Park 48 Northwest Ohio chiropractic physicians to sponsor screening of Doctored

Around Town St. Patrick of Heatherdowns Fall Craft Show,

6; Medical Mutual’s breast cancer awareness brunch, 12; Fall fun continues at the Toledo Zoo, 29; Metabolic Weightloss Clinic now offering i-Lipo and HCG combination, 36; Elizabeth Scott director named to state board, 38; UTMC’s Gardner-McMaster Parkinson Center seeks support in Michael J. Fox Foundation challenge, 45.

Connect with Friends who Like Healthy Living News!

at Northwest Ohio Hearing Clinic, is about a hearing complaint that affects an estimated 50 to 70 million Americans—tinnitus. With October being National Breast Cancer Awareness Month, we urge all area women to read the article about ProMedica Toledo Hospital’s state-of-the-art Breast Care Center on page 31. We’re also pleased to bring you a profile of Mercy’s new patient-friendly, cutting-edge imaging facility, conveniently located in Maumee’s Arrowhead Park (p. 47). In addition, this issue features the benefits of Catholic education (p. 15), insights on the latest treatments for snoring from Dr. Christopher Perry of the Toledo Clinic ENT Sinus Center of Excellence (p. 9), a look at an exciting green initiative currently underway at Super Fitness (p. 10), and an introduction to the Dixon Center for Military and Veterans

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Community Services, an organization dedicated to helping returning service members and their families “thrive where they live” and led by Sylvania native Colonel David W. Sutherland (p. 21). Last but certainly not least, please be sure to read the ad on page 26 for the Parkinson Foundation of Northwest Ohio Gala to be held October 18 at The Pinnacle in Maumee. Susan Ross Welles will emcee this year’s event, and it promises to be a wonderful evening featuring fine food, dancing, and a silent auction. Proceeds from the Gala will benefit all the great work the Foundation does to heighten awareness and understanding of Parkinson’s disease. Until next month, stay safe, active, and healthy!

MEN 50 OR OLDER with urinary symptoms due to an enlarged prostate may qualify for a clinical research study of a new investigational device.

Call 419-291-8027 today for study participation details!

4 â&#x20AC;&#x192; October 2013 / Healthy Living News

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Effective tinnitus treatment takes a team approach

innitus—the perception of sound in the absence of an actual auditory stimulus—is one of the leading complaints physicians hear from their patients. In fact, an estimated 50 to 70 million people in the United States suffer with tinnitus, and of those individuals, an estimated 2 to 3 million have a severe enough problem that some form of medical intervention is necessary. What’s more, tinnitus can affect people of all ages, including young children, who may have more difficulty than adults in describing their symptoms or even recognizing that what they’re experiencing is abnormal. Tinnitus also affects people of both genders but is more common in men than in women. But what exactly causes tinnitus? That’s a question easier asked than answered. Most of us equate tinnitus with the persistent ringing sound one hears after exposure to loud noise, such as a rock concert. But, according to Dr. Randa Mansour-Shousher,

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AuD, CCC-A, of Northwest Ohio Hearing Clinic, “Tinnitus has many potential causes beyond exposure to loud sound. Examples include hearing loss, headache, stress, fatigue, high blood pressure, infection, allergies, vascular issues, wax buildup in the ears, and various medications or medication interactions. You have to look at diet, as well. Salt and caffeine intake, for instance, can exacerbate tinnitus, as can other lifestyle factors, such as inadequate sleep, smoking, and alcohol consumption.” When the symptom of tinnitus is experienced on only one side—so called unilateral tinnitus—there is a remote possibility (about 1 in 30,000) that the cause is a tumor growing on the nerve that leads from the inner ear to the brain. However, these tumors are almost always benign, and surgical intervention is usually warranted only if the tumor is large. There’s also considerable variation in the perceived severity of tinnitus and the degree to which it inter-

feres with the sufferer’s life, ranging tinnitus often demands the comfrom a minor nuisance to an overbined efforts of a multidisciplinary whelming disruption that can lead team of professionals. As Dr. Allan to depression and even thoughts of Rubin, MD, of Northwest Ohio ENT suicide. Dr. Mansour-Shousher points Consultants notes, the goal of treatout that we all have tinnitus, but for ment is not to eliminate the tinnitus most of us it’s so insignificant that entirely, which usually isn’t possible, it’s easily masked by environmental but to teach the brain that the stimusounds. lus is not significant so For many sufit will eventually learn ferers, the sympto ignore it—much the tom of tinnitus same way someone is most troubling who has lived next to when they’re trya train station for a long ing to sleep at night, time no longer notices when the environthe constant rumbling ment tends to be of the passing trains. relatively silent. He goes on to exThere can be a plain that there are similar correlation two broad categories between tinnitus of tinnitus: subjective and hearing loss. and objective. When As environmental the patient hears the sounds become less sound but no one else If the patient has objective tinnitus, and less audible, does, the tinnitus is tinnitus, which may the doctor can actually hear the sound considered subjective. have been pres- that's troubling the patient. The vast majority of ent all along, is no cases fall in this catlonger canceled out and can more egory. However, in the relatively readily come to the forefront of the few cases of objective tinnitus, the individual’s perception. examiner can actually hear the sound Because there are so many posthat’s troubling the patient. This can sible causes to rule out and the imoccur, for example, if the patient has pact on sufferers’ lives can vary so a certain vascular problem. In some significantly, effective treatment of cases, the patient may hear a click-

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ing sound that’s produced when the muscles that control the bones in the middle ear go into spasm. But when it comes to subjective tinnitus—that heard only by the patient—the role of physiology is harder to understand. “It used to be thought that tinnitus is associated strictly with the inner ear. While it may start there, after a while it becomes a central phenomenon. If you were to cut the auditory nerve leading from the ear to the brain, the patient would still hear the sound— sort of like the phenomenon known as phantom pain. The current theory is that this may stem from the loss of inhibition of certain neural activity, so sounds being generated that would normally be suppressed are now perceived,” Dr. Rubin says. He adds that this “phantom” perception of sound is actually measurable on PET scan. If a sound is presented to someone and their brain wave activity is recorded, neural firing will be evident in a certain part of the brain. With tinnitus patients, that same part of the brain will exhibit neural firing in the absence of a sound stimulus. Furthermore, in patients who have an intense emotional response to tinnitus, neural firing is also observed in the limbic system—the portion of the brain that controls emotion. Interestingly, tinnitus varies not only in the perceived severity and the sufferer’s emotional response to it, but also in the actual sound that is heard. Contrary to popular miscon-

ception, it’s not always a high-pitch ringing in the ears. Some sufferers describe hearing white noise, crickets chirping, hissing, whooshing, roaring, or other sounds. Dr. Rubin recalls several patients who actually heard music—and very specific genres, at that. “One heard gospel, another heard jazz, and a third heard country and western. This wasn’t such a major problem for the first two, who both happened to like the genre they were hearing, but NWOHC patients undergo a comprehensive exam to determine the cause of their tinnitus.

it drove the third one crazy because she was no fan of country and western,” he recalls. When patients come to Northwest Ohio Hearing Clinic complaining of tinnitus, they’re given a comprehensive exam that includes not just a standard hearing test, but also testing of the ultra-high frequency range and

otoacoustic emission to determine the function of the inner ear hair cells, which usually have abnormal or no response and, therefore, may be a cause leading to tinnitus and a sensorineural hearing loss. “We also have our patients fill out a standardized questionnaire, which gives us insights on their lifestyle, how the tinnitus is affecting their lives, and whether it’s causing anxiety, interfering with their sleep, or provoking thoughts of suicide. If their tinnitus is disruptive to the point that it’s causing emotional problems or suicidal thoughts, the treatment approach needs to include psychological counseling,” says Dr. Mansour-Shousher. Though tinnitus can’t be eliminated, there are many ways to help reduce the level of disturbance it causes. For example, some assistive hearing devices can be used in conjunction with the Zen program, which produces the sound of musical instruments to mask the tinnitus while helping to compensate for hearing loss. The goal is to match the pitch, volume, and tempo of the Zen program to that of the tinnitus so it’s canceled out. Zen can also be used to cancel out static-like tinnitus. There are even iPhone apps with noise therapy that can offer relief. Other tinnitus therapies offered at Northwest Ohio Hearing Clinic include sound therapy, which helps mask tinnitus; Neuromonics, which involves listening to individually designed music and a masking tone for several hours a day to cancel out

tinnitus and promote relaxation; and the Inhibitor system, a hand-held sound-wave-producing device that is placed behind the ear on the mastoid bone whenever needed to yield temporary tinnitus relief. Dr. Rubin adds that different experimental therapies, such as electromagnetic stimulation, intravenous lidocaine, and trans-tympanic steroid injections, have also been tried with varying degrees of effectiveness. The herbal or vitamin tinnitus remedies often touted on TV ads are no more helpful than placebo. Patients for whom tinnitus is a mild to moderate disruption usually learn to tolerate the condition within about four to six weeks of treatment, typically involving some sort of masking technique administered by audiologists. However, those who find it extremely disruptive or for whom the condition is very emotionally upsetting may also need to see an Ear, Nose, and Throat physician and possibly a psychiatric specialist for effective management. Dr. Mansour-Shousher emphasizes that sound or masking therapies aren’t going to solve the problem all by themselves. “The patient also has to make positive lifestyle changes, such as exercising, minimizing salt and caffeine intake, avoiding smoking, avoiding excessive alcohol consumption, and getting adequate sleep. These are all factors that affect how successful treatment will be. And remember, the sooner you do something about your tinnitus, the better the prognosis,” she says. ❦

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e help control pain. St. Patrick of calm we bring RELIEFfears. AND COMFORT. WE HELP CONTROL PAIN. WE CALM FEARS. Heatherdowns ef and comfort. how “You’re not in this alone.” Fall Craft Show n we WE help you? we WE HELP CONTROL PAIN. WE BRING RELIEF AND COMFORT. St. Patrick of Heatherdowns lp control pain. wepain. WE HELP control (located at 4201 Heatherdowns m fears. we bring reCALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL at the corner of Eastgate and and comfort. how Heatherdowns in Toledo) will n we help you? we WE FEARS. calm hold its Annual Fall Craft Show PAIN. WE CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP lp control pain. we on Saturday, November 16, 2013 m fears. we bring refrom 10:00 a.m.-3:00 p.m. We are the area’s largest and most experienced provider of CONTROL PAIN. WE CALM FEARS. WE BRING RELIEF AND COMFORT. and comfort. how Crafts will include jewelry, WE BRING relief AND comfort. hospice care, a nonprofit organization solely dedicated to n we help you? we seasonal décor and gifts, pop can WE HELP CONTROL PAIN. WE CALM FEARS. WE BRING RELIEFproviding AND the best possible end-of-life experience for our airplanes, clay critters, wood furlp control pain. we patients and their families. niture, scrapbooking, handcrafted m fears.HOW we CANbring WE helpreyou? cards, handbags, and much more! Ask for us by name. The sooner you do, the more we can help. and comfort. COMFORT. WE HELP CONTROLhow PAIN. WE CALM FEARS. WE BRING Free parking and admission. n we help you? we Food and refreshments will be lp control pain. RELIEF AND COMFORT.WE HELPwe CONTROL PAIN. WE CALM FEARS. available. There will also be a m fears. we bring re50/50 raffle plus face painting and comfort. how for the kids! WE BRING RELIEF AND COMFORT. WE HELP CONTROL PAIN. WE n we help you? we If you’re interested in reserving lp control pain. we a booth, please contact Michelle CALM FEARS. WE BRING RELIEF AND COMFORT. WE HELP CONTROL at 419-266-3430. m fears. we bring reand comfort. how PAIN. WE CALM FEARS. WELiving BRING RELIEF AND COMFORT. WE HELP 6 October 2013 / Healthy News We love comments and feedback. Like us on Facebook. Follow us on Twitter. can we help you? “We are experts in managing symptoms and pain as patients

get closer to the end of life. It’s very important to call as soon as possible so we can help you with the disease process you are facing. We will support you at every turn so you know

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Insights on individualized breast cancer care

Cancer Center

ctober has been designated Nacells. The cells of so-called tripletional Breast Cancer Awareness negative breast cancer test negative Month to promote understanding for estrogen receptors, progesterone of this disease that, according to the receptors, and over-expression of American Cancer Society, will be HER-2. diagnosed in an estimated 232,340 As doctors’ understanding of women in 2013 alone. While that the various types and subtypes of number may seem alarming, the breast cancer increases, more and good news is, an evermore medications that increasing number of target particular vulwomen are beating nerabilities of these breast cancer as science different cancer types learns more about the are being introduced. various subtypes of the For example, doctors disease and develops noted that there were individualized treatcertain patients with ments to fight them. estrogen- and progesNotwithstanding terone-positive breast exciting treatment cancer who appeared advances, Dr. Tim Kato do worse than those sunic of The Toledo with apparently similar Clinic Cancer Centers cancer. However, these reminds women that patients with more agthe key to an optimal gressive cancers were Dr. Tim Kasunic outcome continues found to have HER-2 to be early detection. neu receptors on the “Most breast cancers are cured, but surfaces of their cancer cells. The in general, the earlier the stage, the development of the drug Herceptin, higher the chance of cure. That’s which targets these cells, markedly why it’s so important to be compliimproved the prognosis of these ant with annual mammograms and patients. monthly self breast exams. If you “Also, this year has seen the adnotice a lump or any other change in vent of two breakthrough drugs for the breast or nipple, let your doctor HER-2-positive breast cancer,” says know immediately.” Dr. Kasunic. “One is Pertuzumab, Dr. Kasunic supports the recomwhich is a monoclonal antibody that mendation of starting annual mamtargets the HER-2 protein and works mograms at age 40. Those who have by preventing the cancer cell from a family history are encouraged to receiving the message telling it to begin mammogram screenings even grow. Kadcyla is an exciting new conearlier. He also urges women with a jugate drug that uses Herceptin as a family history of breast or ovarian targeting agent. The Herceptin dicancer to see their doctor for a risk rects the chemotherapy to the cancer assessment to determine whether cell and carries with it a very potent they need to be tested for mutation drug called Emtansine. If this drug of the BRCA1 or BRCA2 gene. “The were given by itself into the patient’s vast majority—about 85 percent—of bloodstream, it would be too toxic, breast cancers are non-hereditary, but but when attached to Herceptin, it’s around 15 percent can occur due to extremely effective with virtually no a hereditary syndrome, most comside effects.” monly secondary to BRCA mutation,” Dr. Kasunic is also enthusiastic he explains. about possible FDA approval (under Doctors are discovering that not consideration at the time of this writall breast cancers are alike in terms ing) of a combination of three differof their biology and the way they ent drugs—Pertuzumab, Herceptin, behave. For example, some cancer and Taxotere—for neoadjuvant checells have estrogen or progesterone motherapy for HER-2 non-metastatreceptors on their surfaces, and their ic breast cancer. “This therapy has growth is promoted by these horshown a dramatic response, and mones. In the case of HER-2-posiit’s being proposed for use prior to tive breast cancer, over-expression surgery to improve outcomes and of a gene called Human Epidermal increase the chances of a cure,” he Growth Factor Receptor 2 is responsays. sible for the proliferation of cancerous Exciting advances are taking place

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in the area of breast cancer testing, as well. For patients whose breast cancer is estrogen-receptor-positive but HER-2-negative, Oncotype DX testing is available. This test determines the risk of recurrence in women with this form of breast cancer and how likely they are to benefit from chemotherapy after surgery. Genetic testing to determine breast cancer risk has been in the news quite frequently lately, as well, particularly since actress Angelina Jolie revealed that she underwent a preventive double mastectomy after discovering she carries the BRCA1 gene mutation. Dr. Kasunic, who underwent training at City of Hope to get certified in cancer risk assessment and genetic counseling, advises women to get genetic testing if their medical or family history includes: • A breast cancer diagnosis prior to age 45 • Any woman with triplenegative breast cancer • Two female relatives with breast cancer before the age of 50 • Any woman under age 50 who had a close family member with ovarian cancer • Multiple family members who have had breast cancer or ovarian cancer • Any other significant breast or ovarian cancer history With respect to breast cancer screening, mammography is still considered the standard of care. However, in cases where the breast is not well visualized (such as when the breast tissue is very dense), the patient has a strong family history of

breast cancer, or the patient’s lifetime risk of breast cancer is 20 percent or more, MRI imaging may be used in conjunction with mammogram. Molecular breast imaging and breast tomosynthesis, or 3D mammography, are other examples of modalities that might be utilized in addition to traditional mammogram. Dr. Kasunic also urges his patients with breast cancer to enroll in open clinical trials when they ’re available and appropriate. “Participating in clinical trials not only ensures that patients receive the most up-to-date care and access to the latest medications, but also that they have the opportunity to help advance the science of breast cancer treatment for the benefit of others,” he states. When facing a diagnosis of cancer, more and more patients are choosing The Toledo Clinic Cancer Centers. With nine board-certified hematologists/oncologists and ten nurse practitioners on staff, The Toledo Clinic Cancer Centers can provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. Also, there are several offices (including the main location at 4235 Secor Road and satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe) for the convenience of the patient. Many Toledo Clinic Cancer Centers patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). ❦ For more information, please call the Toledo Clinic Cancer Centers at 419479-5605.

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Snoring makes estranged bedfellows ...but help could be an office visit away

ou’ve just drifted off into a deep, According to Dr. Christopher restful sleep, lying comfortably Perry of the Toledo Clinic ENT Sinus in bed, the whirling ceiling fan creatcenter of Excellence, there are several ing the perfect cooling breeze, when factors that can contribute to snoring, something suddenly pulls you back such as obesity, nasal inflammation from the brink of blissful slumber and related to allergy, nasal deformities prevents you from picking up last like a deviated septum, the use of night’s dream where it left off—an alcohol, smoking, or having enlarged insistent poking in your ribs and tonsils and/or a long soft palate or your bed partner’s soft but emphatic uvula. In many cases, snoring is more voice stating, “Roll over! You’re snorof a nuisance and source of minor ing again!” embarrassment than a medical prob“Snoring? Who, me? I don’t lem. However, it can be a symptom or snore!” you protest. early warning sign of a more serious “My ruptured ear drums and the condition, specifically obstructive peeling wallpaper beg to differ,” your sleep apnea, which is characterized bed partner replies. by actual pauses in breathing while A certain desperate tone in your sleeping. partner’s voice convinces you that “A snoring problem may be more the wisest (and probably safest) significant if you wake up at night course of action is to grab a pillow choking or gasping for breath; you and blanket, depart the bedroom, don’t feel refreshed when you wake and, once again, conup in the morning; vert the living room you’re extremely sofa into a makeshift tired throughout bed. the day; you tend to If this scenario wake up with headsounds all too familaches; you’re gainiar, you’re not alone. ing weight; you have It plays out again trouble concentratand again in houseing, remembering, or holds all across the paying attention; or country. One bed your bed partner nopartner is a habitual tices breathing pauses loud snorer, and the when you’re sleeping. Coblation® turbinate reduction other is regularly These signs should be can quickly and painlessly shrink denied restful, recuconsidered a call to acthe nasal turbinates to open up perative sleep by the tion to see your doctor the nose and improve breathing, raucous noise. In fact, or contact us at the Tosnoring, sense of smell, and sleep. 40 percent of men ledo Clinic ENT Sinus and 25 percent of women snore—but Center of Excellence for a consultathose occupying the same bedroom tion,” says Dr. Perry. as the snorer often pay the higher Dr. Perry and Dr. Oliver Jenkins price. Very frequently, habitual snorprovide a thorough evaluation of the ing pushes bed partners to the point upper airway to determine whether of sleeping separately, which can put there is an anatomical cause of snora strain on their relationship. ing. They also offer allergy testing Snoring occurs when the nose and can even do an in-office CT is congested and/or the muscles in scan to identify any structural issues the soft palate, tongue, and throat related to the nose and sinuses. If relax, allowing the soft tissues to colobstructive sleep apnea is suspected, lapse. Then, forced airflow coming in they can arrange for the patient to through the nose and mouth causes complete a sleep study right in the the congested or sagging tissue to comfort and convenience of their flutter and vibrate, producing the own home. distinctive sound of snoring. In some cases, snoring can be

reduced or eliminated through simple lifestyle modifications, such as sleeping on your side, elevating the head of the bed, avoiding the use of alcohol, and avoiding smoking. Of course, losing weight often makes a significant difference, as well. If these measures aren’t sufficient, Drs. Perry and Jenkins offer a wide range of medical alternatives that can bring relief to both the snorer and, by extension, his or her bed partner, including allergy treatments to reduce nasal inflammation, prescription mouth guards worn at night to reposition the lower jaw and tongue and prevent tissue from blocking the airway, as well as surgery to remove enlarged tonsils or correct a deviated septum. They also offer a cutting-edge in-office treatment called Coblation® turbinate reduction, which quickly and painlessly shrinks the nasal turbinates to open up the nose and improve breathing, snoring, sense of smell, and sleep. “This is done using a thin wand that delivers radiofrequency waves,” Dr. Perry explains. “First, we administer a local anesthetic to numb the turbinates, much like your dentist does when filling a cavity. Then, the wand is inserted into the turbinate and the

radiofrequency waves gently heat up the surrounding tissue, causing it to dissolve and shrink. The procedure takes only about ten minutes, causes no pain or bleeding, and requires no down time.” If vibration of the soft palate is determined to be the cause of a patient’s snoring, Coblation radiofrequency reduction can be performed on the soft palate instead (or in conjunction with turbinate reduction if appropriate). In this procedure, the radiofrequency waves are used to form scar tissue in the muscular layer of the soft palate, which stiffens the tissue and prevents it from vibrating—much the same way tightening the sail on a sailboat prevents it from flapping in the wind. Dr. Perry emphasizes that snoring can usually be successfully treated and should never be allowed to become a source of friction in a relationship. “If you or your bed partner has a snoring problem, there is hope. You don’t have to suffer or resign yourselves to sleeping separately. Whether it’s a matter of lifestyle modification, allergy management, or a minimally invasive, in-office surgical option, there’s a treatment option that probably will work for you,” he says. ❦

No Needles! Make Ma ke allller ergy ergy gy sho hots ts a thiiin th ng o off th he e pa asstt.. To T olle ed do o Clini lilin niic EN ENT iss no ow w pre resc scrriibi bing bing ng the a th att-h -home -ho ome om alllle a erg gy trea ttrrea attm me en nt NO N O O-S -S SH HO OTZ OTZ TZ ora oral or all alllle errg gy y dro rop rop pss. s. BOARD CERTIFIED

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Power up Toledo at Super Fitness!

on Hemelgarn, owner of Super Fitness, is often asked how he manages to keep the cost of club memberships so affordable while the facilities and amenities continue to expand and improve. After all, a Super Fitness membership today costs only $19.95 a month—just $3.44

more than it cost 41 years ago. The answer is deceptively simple: Rather than burden members with everincreasing costs, Hemelgarn and his team continually look for ways to minimize expenses so they can pass the savings on to members. One of the many ways Super Fitness achieves this cost savings is by incorporating energyefficient technology in their operations whenever possible. If fact, they’ll soon be taking this concept to a whole new level with the introduction of the revolutionary Green System by SportsArt Fitness, which actually harnesses the energy of members as they exercise. “The Green System consists of special upright cycles, recumbent cycles, and elliptical machines that safely capture the energy that members generate as they work out. The energy is then channeled through a DC voltage booster into a special inverter box and then into the power grid of the building,” HemelERVICE garn explains. “With this system, we can IS OUR put up to 2,000 watts of energy per hour I G N AT U R E back into the grid. That’s enough to power 20 ceiling fans and five flat-screen TVs for an hour with energy to spare. In essence, members using this equipment won’t just be powering up their body and 4607 W. Sylvania Ave. | Toledo, Ohio 43623 improving their fit(419) 841-7773 ness, but they’ll also be helping to ‘Power signaturebankna.com up Toledo,’ which is exactly what we’re calling this groundMember FDIC breaking initiative.”

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Of course, the Green System is just the latest in a long line of innovative energy-conservation initiatives at Super Fitness. For example, Hemelgarn had the roof at the Reynolds Road location converted from black to white to reflect sunlight and reduce heat absorption, which amounted to a 35% energy savings. He also updated all the lighting systems at Super Fitness, so they now produce the same level of light using only two bulbs rather than four, and replaced the facility’s old cast-iron boiler and large storage tanks with energy-efficient water heaters, which operate at 95 to 96% energy efficiency. Even exhaust

products aren’t allowed to go to waste at Super Fitness. “In our pool area, we used to exhaust the steamy air from the whirlpool directly to the outside. Now, we harness that 102-degree air from the whirlpool, run it through a heat exchanger, and pump it back into the swimming pool to keep the temperature of the water and surrounding air between 84 and 85 degrees,” Hemelgarn says. Super Fitness members who enjoy working out on the treadmill may wonder what to make of the bright green lights they see attached to the treadmills nowadays. They’re yet another example of the club’s green initiatives. Those lights are actually part of a system called Treadmill Saver, and the fact that they’re shining green is a very good sign for

members’ pocketbooks. As Hemelgarn points out, a brand new treadmill that’s operating at peak efficiency draws about three to five amps. As more and more hours of use are put on the unit, that efficiency starts to break down because dirt builds up around the motor and friction increases between the tread and the deck. After only about 150 hours—about two weeks of use—the treadmill will draw about twice as many amps as it did when brand new. The more time that passes without cleaning and lubricating the unit, the more amps it pulls until, at around 20 amps, it finally pops the circuit breaker. The Treadmill Saver utilizes an eco-smart lighted warning system that alerts when maintenance or repairs are needed. Much like a traffic light, the Saver progresses from green (optimum efficiency at 3-5 amps) to flashing green (about 8 amps), yellow (about 10 amps), and red (12 amps or more), depending on how much energy it’s consuming. Considering that Super Fitness has 100 treadmills between the Newtowne Drive and Reynolds Road locations, keeping these units properly cleaned and maintained amounts to a significant energy savings that translates directly into lower membership costs. Super Fitness will have launched the Green System by the time this issue goes to press, but Hemelgarn plans to showcase the new equipment—and invite everyone to help Power up Toledo—at an open house in October, with the date soon to be announced. “This revolutionary technology has been a long time coming, and no one else in town has it right now. To me, this represents the future,” he says. ❦

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9/17/2013 8:58:25 PM

A few words from the Diabetic Meal Planner’s kitchen

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BRUNCH BUNCH • TUESDAY, OCTOBER 15 Breakfast served at 9:30 am • Presentation at 10 am Come to Browning and meet Duane Abel. Duane is a cartoonist, speaker on comic history and the creator of the syndicated comic strip “Zed”. Cost: $5 per person at the door. Please RSVP Carleen at 419-878-1807.

JOIN US FOR AN OKTOBERFEST AND SOUP SUPPER SATURDAY, OCTOBER 26 Dinner 6:00-6:30 pm • Live music 6:30-7:30 pm • Live music performed by Duane Malinowski • Dinner will be cheddar ale soup, hot pretzel and German chocolate brownie • Beverages and snacks will be provided • Only $5 per person at the door Please RSVP Carleen at 419-878-1807 8883 Browning Dr. • Waterville, OH 419-878-4055 • www.browningmasoniccommunity.org 12 October 2013 / Healthy Living News

ince I was diagnosed with juvenile diabetes over 40 years ago, many things have changed dramatically in the treatment of diabetes. Blood tests have replaced urine tests, insulin is more pure, and synthetic insulin is now available. Insulin pumps and single-use syringes have replaced glass syringes and reusable needles. One of the things that have not changed, however, is the set of USDA recommendations in Guidelines for Nutrition for Americans. The midranges of their recommendations are still for 50% of our daily calories to come from carbohydrates, 20% from protein, and 30% from fat. They also still recommend that less than 10% of calories come from saturated fat and that there should be 28 grams of fiber per day in our diet. And, the American Heart Association now recommends that sodium intake be limited to 2,300 mg per day and that cholesterol intake should stay under 300 mg per day. Following these meal plan guidelines is ideal for any American, not just for diabetics. But diabetics need a little more information to attain better blood-

glucose control. They must now be concerned about the Glycemic Index of the foods they eat. And in still another change, not only do they need to know the total carbohydrates, but also the available carbohydrates for each meal. Going back to things that have not changed, there are still lots of “diabetic” recipes. But nowhere to be found in the last 40 years are directions for incorporating these recipes into a wellbalanced meal, let alone an actual publication of well-balanced meals. Considering all of the above, planning well-balanced meals for a diabetic may seem to be a daunting task to perform on your own, but don’t worry, we have done all the work for you. The software that we have developed is efficient and very accurate. We do the planning; all you have to do is cook, measure the portions (no family-style dining for the diabetic here), and enjoy. The comprehensive nutritional data used in the calculations that allow us to meet all of the above criteria is found in Food Values of Portions Commonly Used by Bowes and Church or from the less comprehensive pack-

Medical Mutual’s breast cancer awareness brunch set for October 19

n observance of Breast Cancer Awareness Month, Medical Mutual is sponsoring a free breast cancer awareness brunch on Sunday, October 19 at the Hilton Garden Inn at Levis Commons. The brunch, which honors and celebrates breast cancer survivors, is open to the public. WTOL-TV news anchor Chrys Peterson will present the Debra A. Green Community Service Award to Barbara Oxner, a breast cancer survivor, in recognition of her work to raise awareness of breast cancer prevention. There also will be a style show featuring fall fashions presented by Chico’s at Levis Commons. The event also will feature a va-

riety of opportunities for breast cancer survivors, family members, and friends to view and purchase the latest in fall fashions, hats, purses, and other items from local vendors. “This event is a celebration of life to help breast cancer survivors feel special about themselves by having luxuries and fun things to pamper and entertain them,” said Debra Green, Director of Community Outreach for Medical Mutual. Doors open at 10:00 a.m. The brunch will begin at 11:00 a.m. Seating is limited. Reservations are required and can be made online at www.medmutual.com. Reservations also can be made by calling 216-687-7852.

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age data. Mary and I plan meals for me at 2,200 calories per day and for her at 1,400 calories per day. Since calculating portions for two diet sizes was easy, it was no problem to calculate 1,800-calorie-per-day portions so we could share all three of the most common diet sizes in our books. We follow our TRIFLE acronym in all of our meal planning: Tasty Readily available ingredients Inexpensive Family friendly Low glycemic index, and Easy to prepare The copyrighted chart format on this page is used for all of our published meal plans. It contains all of the menu items, the portion sizes for the three daily diet sizes, and the nutritional data we referenced above. All of the recipes required for each meal follow the charts in all of our Meal Plans for Diabetes publications. In this issue of HLN, we have a great fall weekend dinner for you to try:

Mary’s Basic Chili Dinner Cooks in some parts of the country don’t put beans in their chili, but Mary does. Spice it up to your liking with extra chili powder if you prefer.

And we make life in the kitchen easy by using a store-bought Jiffy mix for the cornbread. For the chopped salad, we use diced cucumber, colored bell peppers, sweet onion, and chopped tomato.

Creamy ParmesanPepper Dressing Difficulty: easy • Prep time: 5 min Cook time: none • Yield: 1 cup 2/3 cup 1% fat cottage cheese 1/3 cup low-fat buttermilk 1 T white wine vinegar 2 T grated parmesan cheese 1 t ground pepper Put all of the ingredients in a blender and process until smooth. This will keep for about a week in a covered jar in the fridge.

Nutritional data for 1 T: Calories, 12; Available carbs, 0 gm; Total carbs, 1 gm; Pro, 2 gm; Fat, 0 gm; Sat fat, 0 gm; Glycemic Index, low; Fiber, 0 gm; Sodium, 55 mg; Cholesterol, 1 gm.

Mary’s Basic Chili Difficulty: easy • Prep time: 10 min Cook time: 60 min • Yield: 8 cups 1 cup chopped onion 1 T olive oil 1 lb 10% fat ground beef 1 T chili powder 1 15-oz can diced tomatoes with liquid 1 cup tomato puree 1 cup water

1 15-oz can pinto beans, rinsed

using winter ingredients.

In a pot large enough to hold all of the ingredients, sauté the onion in the oil over medium heat until soft but not brown. Add the beef and cook until the beef is browned. Add the chili powder and stir to mix well then cook for another minute. Add the tomatoes, puree and water, bring to a boil, reduce heat to a simmer, and cook for 30 minutes. Add the beans and cook for another 15 minutes. Nutritional data for 1 cup: Calories, 216; Available carbs, 8 gm; Sodium, 126 mg; Total carbs, 15 gm; Pro, 19 gm; Fat, 8 gm; Sat fat, 3 gm; Glycemic Index, low; Fiber, 4 gm; Cholesterol, 49 gm.

Enjoy with family and friends, and join us again in the January issue when we will have another meal

❦

Wayne Goodwin is the Diabetic Meal Planner. His four books, Everyday Meal Plans for Diabetes, More Everyday Meal Plans for Diabetes, Sodium Restricted Meal Plans for Diabetes, and Holiday Meal Plans for Diabetes, can be ordered in digital or print format through www.amazon.com/author/waynegoodwin. Print copies only are available for $21.30 (tax included) per book or through Wayne Goodwin, Box 666, Holland OH 43528. Personal checks are accepted as well as Visa, MC, Discover, or Amex. Send card number, exp. date and credit card code, mailing address, and contact phone with your order. ❦

Nutritional Data Chart Meal Item Everyday Chopped Salad Creamy Parmesan Dressing Mary’s Basic Chili Grated cheddar cheese Cornbread from a Jiffy mix Fresh apple wedges Non-caloric beverage Total Meal Calories Available carbs Sodium (mg)) Glycemic Index Total Carbs Fiber Cholesterol (mg)

1400 cal/day 1800 cal/day 2200 cal/day 1 cup 1 ¼ cups 1 ½ cups 3 t 4 t 5t 1 cup 1 ¼ cups 1 ½ cups 2 T 2 ½ T 3T 1 oz 1 ½ oz 2 oz 5 oz 6 oz 7 oz Free Free Free 485 616 750 42 55 67 426 578 724 Low Low Low 59 77 93 11 14 16 65 79 95

January 1 is the time to explore my health insurance options. Significant changes required by healthcare reform go into effect January 1. That’s why now is the time to consider your options for buying health insurance. Making a decision before the end of the year could save you money. Talk to your insurance advisor or a Medical Mutual representative today. Call 877-325-6664 or visit MedMutual.com/individual.

Have questions about an advertiser? Click their email or web address in our online issue at www.hlntoledo.com. Healthy Living | Time to Explore-Individual | 10.25" x 6.25"

SAINT URSULA ACADEMY

Education beyond the books

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t St. Ursula Academy (SUA), the students, faculty, and staff live the school’s motto, “I Will Serve,” every single day. Service is one of the Ursuline Core Values of Education, and the Ursuline Sisters have been dedicated to serving their community since 1854 when four Ursuline nuns arrived in Toledo and opened the school doors to 200 children. Not only is service a component of the SUA curriculum with a schoolwide day of service every year, but the students choose to provide service after school and in their free time. The SUA Annual Day of Caring happens in the spring when the entire school volunteers over 2,000 hours of service in a single school day. In 2013, over 600 students, teachers, and staff were spread out amongst 30 local Toledo service agencies to volunteer their services and helping hands for the eighth year. The Annual Day of Caring is far from the only time you will see SUA students volunteering their time to the community. Every Monday night, including Christmas Eve and New Year’s Eve, students and club moderators of The Labre Project take to the streets of Toledo to feed the homeless. This newly developed project, led by SUA Theology teacher

dence. Service opportunities allow students to reach beyond themselves, to foster a life-long desire to continue touching the lives of others beyond their high school experience. Service becomes a part of who they are.” The combination of hours of service that SUA as a whole has contributed is not only noticed in the local area, but also at a national level. St. Ursula Academy is one of 31 schools in the Toledo region that are part of the Youth Jefferson Awards/Students in Action program. This past spring, all 31 schools were invited to produce a five- to seven-minute video that demonstrated how their year-long efforts have redefined the culture of their campus to one of service and how they met each of the 7 Deliverables included in the program. The winning school would then represent the Toledo Region

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Mr. Mark Dubielak, is life changing for both people in need as well as the students and other volunteers involved. Service at SUA is not only to make our community a better place, but also to make the girl a more productive citizen. Sister Donna Frey, OSU, Mission Effectiveness at SUA, says it best, “Service leads many students to further explore issues of injustice, to deepen their commitment to make a difference in the lives of others, and to build inner strength and confi-

at the national level. The judging panel, including many local leaders, unanimously voted St. Ursula Academy the winner of the video contest. The amount, quality, and reasoning of the service provided by St. Ursula Academy was undeniable. The student leaders representing SUA then went on to earn the fourth-place award in the nation at the National Jefferson Awards ceremonies in Washington, DC. Mary Werner, President, summarizes service at SUA, “We are so proud of the spirit of service at SUA. It is integral to St. Ursula Academy’s mission of developing the whole person and continues to shine in the well-rounded young women who are our graduates. To be recognized on the national level is truly an honor.”❦

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Catholic education Values received, excellence achieved

t seems as though two distinct and divergent sets of values are emerging in our society. One set seems to promote egocentrism, entitlement, moral relativism, instant gratification, and self-aggrandizement while the other embraces concepts such as faith, compassion, self-discipline, determination, accountability, and respect and empathy for others. Parents who hope to raise their children with the latter set of values definitely have their work cut out for them these days. The media and popular culture continually undermine their efforts to instill positive values in their children by sending and reinforcing the message that individual desires and impulses always take precedence over the needs of others and by dismissing positive values as antiquated or obsolete notions. But parents who send their children to Catholic schools find that the values they hope to impart to their

children are upheld and reinforced in a supportive, caring environment. As a result, kids educated in Catholic schools emerge better educated, better citizens, and better prepared to deal with the opportunities and challenges life has in store for them. Here’s what a Catholic education will mean for your child.

Safe, supportive learning environment With their emphasis on Catholic faith, individual responsibility, parental involvement, and respect for human dignity, problems such as behavioral challenges, substance abuse, and risks of violence are significantly lower in Catholic schools than in non-faith-based school systems. In addition, smaller class sizes mean that all students receive the support, personal attention, and interaction they need to excel academically.

Elevated expectations

Emphasis on self-discipline

Catholic school teachers understand the basic principle that self-esteem results from accomplishment, not vice versa. Students are expected to achieve in their academic endeavors, and they’re given the tools and support they need to do so. The bar of achievement is set high with the goal of preparing students for the rigors of secondary education and the working world.

Personal responsibility is a hallmark of Catholic education. Students are given the decision-making skills they need to make sound judgments throughout their lives and to extend the respect and dignity deserved by others. Self-discipline leads to academic success, which leads to a more significant contribution to society.

Christ-centered learning Christ’s example is the foundation upon which Catholic education is based. Children are encouraged and nurtured to be Christ-like people and to recognize the presence of Christ in others. Parents appreciate the fact that Catholic schools uphold and strengthen the religious formation they ’ve begun in the home.

Parents who care Just like you, other parents of Catholic school students want to play an active role in their children’s educational experience. In fact, many parents volunteer in a variety of capacities, such as playground or lunchroom supervision, classroom assistance, fieldtrip support, fundraising assistance, and many other areas. And the support works both ways. The schools are also happy to work together with parents as a team to help solve any problems or challenges that might arise.

Part of a community When your child becomes a part of a Catholic school, your family also becomes a member of this supportive, enriching community, which will allow your entire family to continue growing in

We are Leaders. Thinkers. Measurable Achievers.

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www.toledosua.org 15

their Catholic faith.

College in the future A college degree is critical to career success, and Catholic schools are focused on preparing students for entry into college. A very large ma-

jority of elementary and secondary Catholic school students attend college. In fact, according to the National Catholic Educational Association, 99% of Catholic secondary school students graduate and 97% go on to college. ❦

All-male environment conducive to transforming boys into Christian gentlemen

t is a greater challenge today than ever before to be a teenager, and to be a parent raising a teenager. Our children are bombarded with confusing and conflicting messages from every side and in every possible medium and arena, from the Internet and Facebook, to television and Hollywood, politics, and sports. Our children—boys and girls to us, young men and women to the rest of the world—struggle to find role models that exhibit the values we as parents try to instill in them: honesty, loyalty, selflessness, integrity, fair gamesmanship, trustworthiness, and gentleness. Boys and young men are particularly at risk for behaviors destructive both to themselves and others.

Fr. Ron Olszewski, O.S.F.S., president and teacher at St. Francis de Sales High School, has dedicated his entire career to the education and development of young boys. For 40 years, he has been teaching them in the classroom and guiding them along the path set by Francis de Sales, the Gentleman Saint. “It has always been a primary focus of the Oblates to transform young men into Christian gentlemen of integrity and honor, making them modern day knights,” states Fr. Olszewski. Under the guidance of Fr. O, as he is known affectionately by the students, young men are encouraged to strive to be modest, courteous, gentle, sympathetic, and cordial, avoiding all insolence, harshness, affectation,

contradiction, and pretense. St. Francis wrote about these attributes in his book, Rule of Life, when he was about 21 years old and a student at Padua. Fr. O would also include compassion, kindness, humility, patience, and tolerance among the important attributes to be instilled in young men. Fundamental to this training is focusing on the unique developmental needs of young men. By working in a single-sex environment, these students are able to focus on their personal growth. The young men at St. Francis de Sales High School appreciate learning in an all-male environment that “gets” them, that

understands how they learn, how they think, what their social pressures are, and what their deepest needs are. St. Francis de Sales High School has recognized this need for young men since its beginning. Jackson Bonfiglio, a senior at the school, notes that “being in an allmale environment allows me to be more of who I am rather than what the girls might want me to be.” Beyond the rigorous academic demands of the program, the development of strong, Christian friendships and positive, supportive relationships is a key component of the program championed by Fr. O, the Oblates, and other faculty. “I am more com-

Fr. O is shown here with several students during their lunch time. He visits with students regularly throughout the day to see how everything is going with them.

The area’s largest Advanced Placement program, with 20 AP courses offered.

100% of seniors accepted into colleges of their choice, with average scholarship packages of $112,000.

A tradition of spiritual, academic, social, and physical development.

Schedule a visit today! www.sfstoledo.org | 419.531.1618

16 October 2013 / Healthy Living News

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fortable,” says Bonfiglio, “while I am trying to form relationships with other guys as well as faculty here.” Another senior classmate, John Kulka, comments, “The brotherhood at my school is the best thing about it. It is easier to make strong, longlasting friendships with other guys without the girls present.” Kulka speaks positively of the all-male environment because “it’s fun to be with your best friends all day in classes and then get rowdy at pep rallies.” Fr. O is passionate about helping parents raise their sons into men of

integrity and honor. For years, Fr. O has shared his insight from his years of experience guiding young men, insight invaluable to the parents of boys. He will do so again this month in a public presentation entitled “Transforming Boys into Christian Gentlemen.” Parents with sons of all ages can benefit from his expertise, experience, and perspective. You can hear him speak about his favorite topic on Tuesday, October 15, at 7:00 p.m. at St. Francis de Sales High School. ❦

First graduates of NDA International Baccalaureate Program have outstanding results

ive years ago, Notre Dame Academy (NDA) took a chance and made a major commitment to become an International Baccalaureate (IB) World School. Although the International Baccalaureate Program has thousands of schools in 116 countries, the Northwest Ohio area was without an official IB school at that time. The goal was to open more doors of opportunity for young women in college admissions, college credit, and scholarship awards while increasing critical thinking, further developing research skills, and promoting international-mindedness. In 2011, the first group of students began taking IB courses after preparing in NDA’s collegeprep curriculum for two years. Students were offered the opportunity to earn a Full IB Diploma or could earn certificates in subject areas they felt strong in or had a passion about.

The results are in, and they were fantastic for an early years’ program. The 48 IB graduates, both Full Diploma (13) and Certificate (35), earned $10.5 million in college awards and were accepted into schools such as Yale, Brown, Harvard, Michigan, Notre Dame, Ohio State, and the University of St. Andrews in

Scotland. Their contributions helped earn a school record of over $18 million in college awards for the Class of 2013. Ninety two percent of the Full Diploma candidates passed their comprehensive two-year exams, compared with a 78% passing rate around the world in other schools. The students’ average Full Diploma score was a 30, compared to an international score of 29. Of the 159 tests taken by the 48 graduates taking IB classes, 91% scored a four or higher to earn college credit, advance placement, or acceptance at

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schools, a tremendous accomplishment for a first IB graduating class! “First-year programs generally take several years to earn such incredible credentials. We established ourselves as a strong IB school right out of the gate,” explained Kim Grilliot, principal. One young woman taking advantage of the IB worldwide reputation is Courtney Dane from the Class of 2013. Ms. Dane is studying International Relations, and what better place to do it than one of the best programs in Europe at the University of St. Andrews in Scotland. Ms. Dane,

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who is a Full IB Diploma graduate, is interested in global conflicts, American-born policies, and world globalization. With its emphasis on international-mindedness, the IB program helped fuel her drive to make a difference in the world. That passion led Ms. Dane to participate in two Notre Dame Academy service trips to Nicaragua and to be a founding member of the Social Justice Alliance Club. Notre Dame Academy has the only International Baccalaureate Program in the area currently accepting new students. With the opportunity to earn a Subject Area Certificate

in addition to a Full Diploma, over 200 young women school-wide are on the IB track, either preparing or

Notre Dame Academy and Junior Academy holds Open House November 10

amilies can visit and tour Notre Dame Academy and Junior Academy for grades 7-12 on Sunday, November 10 from 11:00 a.m.–2:00 p.m. at 3535 W. Sylvania Avenue. Find out the latest educational trends including how teachers and students are using the new iPad One to One technology program in the classroom. Learn how your daughter can

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taking courses. The IB Program is opening wonderful new doors of opportunity for young women.

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achieve more and excel both inside and outside the classroom. Then, mark your calendar for the High School Placement Test for incoming freshman for fall 2014, December 7 at 8:00 a.m., and the test for incoming seventh and eighth grade students, December 14 at 8:30 a.m. NDA offers a college-preparatory education with a variety of opportunities for young women of all academic levels and ability. NDA is the only school in Northwest Ohio with the rigorous International Baccalaureate Program (IB) as well as offering one of the largest Advanced Placement Programs (AP). The school goal is to have every student graduate with some earned college credit, whether through IB and AP classes, online courses available through the University of Toledo or Owens Community College, or through courses taught on the NDA campus for Lourdes University and Owens Community College. Learn about IB and college credit opportunities at the Open House. Is single-sex education the right fit for your daughter? Tour our campus, meet our teachers, and learn more about the NDA spirit and nurturing environment from student guides. Meet athletic coaches and teams; find out why the Eagles have won the All

Sports Award for ten years in a row! With over 35 class offerings in speech, drama, visual arts, dance, voice, and instrumental music, young women have multiple opportunities to nurture their creativity. NDA students continually receive awards in the fine arts across the board. Experience the fine arts in action with performances by the Honors Chorus, Speech and Drama classes, Speech Team, and snippets from our fall production of Shrek The Musical. Plus, learn more about our clubs and activities that provide fun, new friends, and leadership opportunities. An NDA education teaches religious truths and morals. Young women develop a rich and meaningful spiritual life through retreats, volunteerism, and theology classes. Our mission is to awaken a young woman’s beautiful spirit and help her become a woman of compassion and vision. “An all-female environment allows young women to build relationships, experience leadership roles, enhance their communication skills, and build on their natural strengths,” explained Kim Grilliot, principal grades 7-12. For more information, contact us at 419-475-9359 or visit our website, www.nda.org. You can also keep up with us on social media: facebook. com/NotreDameAcademy and twitter.com/NDAeagles. Families with fifth and sixth grade girls can tour our Junior Academy and learn how to get a strong jumpstart for a college-prep education in seventh and eighth grade. ❦

Ignite your child’s potential with tennis by Mark S. Faber, USPTA P-1

ith school in full swing once again, many parents will be looking for athletic activities to get their kids involved in. Many factors come into play when parents and students alike are trying to decide which activity to choose. With the importance of academics and the aspiration of attending college being at the forefront of many people’s minds, I would like to share with HLN readers a sport that really provides a boost in these areas—tennis. A recent study shared by the United States Tennis Association (USTA) showed exactly why tennis is such an awesome sport for kids. The study revealed that 48% of tennis players have an A average and 81% of tennis players say they will attend college. Yet another interesting statistic is that 73% of tennis players have never been sent to the principal’s office. Also, with colleges

and universities looking for a solid record of community service and outside activities in prospective students, the fact that 81% of tennis players volunteer in their communities should get parents’ attention. So, as parents and kids consider activities for the upcoming year, remember that tennis is not only a lifetime sport and one that is strongly supported by the White House in its fitness campaign, but it also has the statistical backing to show how it helps students in the school and community. ❦ Mark S. Faber, USPTA P-1, is Director of Tennis at Laurel Hill Swim and Tennis, USPTA Midwest Regional Vice President, USTA/NWOTA Past President, Chairman USTA Midwest Section Coaches Commission, and OTCA Vice President.

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Dixon Center enables veterans and their families to thrive where they live

Do you have type 2 diabetes that is difficult to control? Have you had a heart attack or stroke in the past 2 years?

The GRAND-306 Study is looking at whether an investigational medication (a new medication) that is under development is safe and effective in people with type 2 diabetes, who have difficulty in controlling their blood sugar levels, and have experienced heart problems or have risk factors for heart disease. You may be eligible to participate in the GRAND-306 Study if you: • • •

are 18 years of age or older have been diagnosed with type 2 diabetes have had heart problems or stroke, or have risk factors for heart disease, such as being a smoker, having high cholesterol, or high blood pressure.

If you decide to join the GRAND-306 Study, you will continue taking your current diabetes treatment as usual and will be given the investigational medication, or placebo (which looks the same as the investigational medication but contains no actual medication). to take as well. The GRAND-306 Study will last about 6 years, and will require approximately 23 visits to the study center and scheduled telephone calls. The study will include a screening period to confirm that the study is suitable for you, a study medication closing period, and a follow-up visit.

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oday’s veterans come home to a in communities—solutions nation that thanks them for their that can be shared broadly to service, but in reality, these vets come strengthen collective impact home to families, neighbors, and • Build capacity and expand communities who, while grateful, direct services—locally through also expect them to pick up where Easter Seals and nationally they left off. through the collective Sea of But after the welcome wears off, Goodwill. vets find themselves scattered across Colonel David W. Sutherland, US the U.S. And therein Army (ret), is co-foundlies the challenge: The er and Chairman of the resources available to Dixon Center for Military veterans are scattered and Veterans Community throughout communities, Services. He commanded and few organizations are the U.S. combat brigade available to match the serin Diyala Province, Iraq vice member and his/her (2006-2007) and served family with the local reas Special Assistant to sources available to them. the Chairman of the Joint The Dixon Center for Chiefs of Staff (2009-2012) Military and Veterans with a focus on warrior Community Services and family support. builds partnerships, Raised in Sylvania, Ohio, shares innovations, and Colonel David Sutherland Sutherland is a graduate connects those who have of St John’s High School served through collective impact (‘79) and Bowling Green State Uniinitiatives in their local communities. versity (‘83). ❦ Not only do they look at the current challenges facing veterans and their For more information about the Dixon families, but they also seek to anticiCenter, call 202-347-3066, visit pate and meet future needs. Their TheDixonCenter.org, or write to them purpose is to enable our veterans at 1425 K Street NW, Washington, and their families to thrive where DC, 20005. The Dixon Center is an they live. Easter Seals enterprise and falls under Under the leadership of Colonel its 501(c)3 non-profit status. David Sutherland, U.S. Army (Ret.), and Kim Mitchell, Dixon Center ’s network of over 20,000 organizations and like-minded individuals, serving over 560 communities, builds national reach while advancing local impact. Stanford Social Innovation Review said that “working with communities is the solution to advancing a ‘whole of society’ collective impact.” This means that communities must create oncussion, a hot topic area, eschange that looks at entire systems pecially in sports, is the focus rather than just one organization. of this month’s educational piece. Here’s how Dixon Center brings inWhat is a concussion? A concussion novative solutions to enable veterans is a mild traumatic brain injury that and their families: occurs when a blow or jolt to the head disrupts the functioning of the brain. • Advise and assist social, private Sports-related concussion is one of and public sector decisionthe main topics in the media, medimakers on how to find and cine, and sports programs today. It focus on essential needs within is a more common injury and more their communities likely to be underreported by pediat• Help communities mobilize ric and adolescent athletes. It is compartners and resources to monly thought to occur primarily in support educational and football players, yet it occurs in most employment endeavors in other sports, such as soccer, baseball, addition to health, finance, basketball, volleyball, and hockey. legal, and housing requisites Concussions, especially in the • Facilitate effective solutions

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young athlete, can cause symptoms that interfere with school, social and family relationships, and participation in sports. Recognition of symptoms and education on treatment are crucial, especially to the young athlete. The incidence of concussion may decrease with having proper-fitting equipment, using proper sport techniques, and adhering to the rules of the sport, but nothing has been shown to prevent concussion. This is one reason the State of Ohio has taken a proactive and progressive approach with concussions. It is required that every athlete, parent, coach, official, and athletic trainer who participates in or is involved with an organized sport complete training (http://www.ohsaa. org/medicine/Concussions/ConcussionRegulations.pdf). This is a summary of the law passed in Ohio on 12/20/2012: Parents are required to sign a concussion information form. Coaches must undergo an initial concussion training program and must repeat once every three years. Student-athletes are required to be removed from play if suspected of a concussion. They must obtain medical clearance before returning. The law extends past school sports to all youth sports organizations. The management of an athlete who is suspected of a concussion is critical in reducing the long-term complications. Rest, both physical and cognitive, is key to management of those suspected of a concussion. Additional testing (neuropsychological) may also be helpful with the management, especially if the symptoms appear to be progressing. X-ray’s, CT scans, and MRIs will not identify a concussion but may be used to rule out cervical spine fractures or more severe brain injuries. Return to play is the goal. But how soon is that? Determining when an athlete returns to play after a concussion should follow an individualized course because each athlete will recover at a different pace. It is very clear that if a concussion is suspected, the athlete should not be allowed to return to play that same day. The phrase that is being used and is paramount in the management of pediatric or adolescent concussion is, “When in doubt, sit them out!” If the athlete is showing symptoms while at rest or with exertion, they should not return to play. Although a majority of athletes will be asymptomatic within a week, numerous studies have demonstrated that a longer recovery of full cognitive function is needed in younger athletes compared to college-aged or professional athletes (Field M, Collins MW, Lovell MR, Maroon J. Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. J Pediatr. 2003;142(5):546–553).

As stated, most athletes may be asymptomatic in 7-10 days, and even a more conservative time frame may be used with the pediatric and adolescent athlete because of the longer cognitive recovery period. When the athlete is asymptomatic, the next phase of recovery is participation in a graded return-to-play program. Once the athlete has been successful in this phase, a return to their physician and medical clearance to return to play is required. Heartland Rehabilitation Services, Outpatient Physical Therapy provider recognizes the need to

assist coaches, athletic trainers, sports organizations, parents, and the athlete in return-to-play safety. Heartland Rehabilitation Services offers at all of its location a comprehensive return-to-play program for anyone who has been diagnosed with a concussion. The athlete will undergo a five-step protocol emphasizing a graded approach to return to activity. Signs and symptoms of a concussion:

Physical • Headache • Nausea

• • • • • • • • • •

Vomiting Balance problems Dizziness Visual problems Fatigue Sensitivity to light Sensitivity to noise Numbness/tingling Dazed or stunned Repeats questions

Cognitive • • • • •

Mental “fogginess” Feeling slowed down Difficulty concentrating Difficulty remembering Forgetful of recent

RETURN TO PLAY SAFELY Heartland Rehabilitation Post Concussion Return to Play Program

Heartland Rehabilitation offers a comprehensive return to play program for anyone who has been diagnosed with a concussion.

Benefits of Heartland’s RTP Program • Athlete will undergo a 5-step protocol that is required for all highschool athletes • Athlete is under the direct care of an educated, properly trained, andlicensed health care professional • Athlete will be in a controlled environment to eliminate outside influences and potential setbacks in the rehabilitation program • Athlete will return to play timely and safely • Heartland has convenient locations • Parents will have peace of mind knowing their child’s head injury isbeing taken care of appropriately Arrowhead: 897-9822 Oregon: 697-8000 Perrsyburg: 874-2657

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Heartland Rehabilitation Services has five locations in the Toledo, Ohio and Bedford, Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. Each location also offers a monthly membership for a small fee, with no contract, and the expertise of licensed clinicians to help you with your exercise routine. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit us at www. heartlandrehab.com.

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It’s finally here! by Jessica Derkis residents themselves, listening to the sounds of the building, awakened by a late night fire drill and firemen response, enjoying meals and amenities together, and praying for one another. This month, patients and residents will begin moving into St. Clare Commons. The first phase of St. Clare Commons offers Assisted Living apartments, Specialized Dementia Care studios, and Private Rehabilitation & Skilled Nursing suites. A beautifully appointed chapel, state-of-the-art therapy lab, fountains, ponds, two rooftop terraces, a piano lounge, community rooms, and a StarbucksTM coffee shop round out the many features. Quiet building technology, individualized care plans, and engaging activity spaces are just the tip of the iceberg. Beneficial part-

Go forward securely, joyfully, and swiftly on the path of prudent happiness. —St. Clare of Assisi

ver the last year, I have been fortunate to help define Assisted Living, Dementia and Dementia Care, as well as short- and long-term Skilled Nursing Care with this monthly column. It has also given me the opportunity to share the many developments of St. Clare Commons construction, partnerships, and new hires. The growing team of nurses, aides, housekeepers, maintenance, and restaurant services spent at least the last month training and orienting to the new building, technologies, therapies, and each other. The whole team spent a 12-hour overnight as

nerships include the Nursing Institute, Ergonomic & Engineering Institute, and Dr. Govind Bharwani. Dr. Bharwani created Behavior Based Ergonomic Therapy that has advanced dementia care in our sister communities and beyond.

With this therapy, certain medications were reduced by 60 percent, injuries were reduced by 35 percent, mood and engagement improved, and many other benefits were noted! It is a community that Francis-

can Living Communities, Sylvania Franciscan Health, and our sponsors, Sisters of St. Francis of Sylvania, have been working on for a decade. It’s the first community to have ties with the Catholic Diocese of Toledo and is directly partnered with and adjacent to the Blessed John XXIII Parish. With this history and with a vision of improving the future of senior care, we look forward to going securely, joyfully, and swiftly, on the path of prudent happiness. Would you like to learn more about St. Clare Commons? Do you know what questions to ask and what to look for when you shop for care? To learn more, to schedule your own tour, or for your free shoppers guide, call 419-931-0050 or email me at info@stclarecommons.org. ❦ Jessica Derkis is the Marketing Director for St. Clare Commons.

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TORTUOSITY AND VARICOSITY Understanding why varicose veins happen and hurt by Munier Nazzal, MD, and Matthew Weis, MD

n warm weather, many people begin to take more notice of their legs as they try on and wear those fashionable summer clothes and swimsuits. As they do, they may see those twisting and sometimes large veins coursing along their legs. What causes these? Why do they hurt sometimes? What can one do to make them go away? Well, they’re varicose veins and they’re a common reason people seek out vascular surgeons. To understand varicose veins, one must first understand how the vessels work in the body and their anatomy. First, remembering all the way back to junior high science class, veins carry blood towards the heart while arteries carry blood away from it. In addition to this, veins have valves within them to prevent blood from backing up as it makes its way back to the heart. In our extremities, we have two sets of veins. One set drains the superficial tissues and is referred to as the superficial venous system.

The other set, as one can infer, runs deep within the fascia covering the muscles, draining the deep tissues, and is referred to as the deep venous system. In the leg, the two major veins of the superficial veins are the short saphenous vein and the greater saphenous vein. These veins feed into the deep system at two points, below the posterior knee for the short saphenous and in the groin for the greater saphenous. Understanding how veins are constructed and where they are allows understanding for how they can change into what we describe as varicose veins. Varicose veins are all about pressure within the veins and reflux of blood across the valves. Reflux is when the blood flows in the wrong direction in a vein, towards the feet rather than normally towards the heart. When a person stands during the day, the blood travelling back to the heart from the legs has to fight gravity. This is where those valves

come into play, preventing the blood from staying in one spot or going b a c k w a r d. The action of walking pumps that blood upwards and back to the heart. N o w, imagine if the valves are damaged or not working. The blood is able to flow backwards, meaning more blood sits in the legs and backs up into the smaller superficial veins in the legs. This is known as venous insufficiency. In addition, this insufficiency increases the amount of pressure the blood puts on the actual wall of the vein itself. Generally speaking, the venous system is a lowpressure system, and when the

veins encounter higher pressures, they dilate. These superficial, small veins, in which the blood has become stagnant or flows backwards causing them to enlarge or dilate, are “varicose veins.” This problem tends to run in families and is more common in patients with close relatives who have a history of varicose veins. People with varicose veins or venous insufficiency will often describe swelling of their legs, pain, or a feeling of fullness in the extremities especially when standing on their feet for prolonged periods of time. In addition, patients may describe relief of symptoms with elevation of the leg or when wearing compression stockings. If this condition worsens or is left untreated for a long period of time, it “becomes chronic” and can lead to skin

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arise from faults within the veins allows for recovery and recuperation both may be indicated. of the legs themselves and can be at home. ❦ The minimally invasive treated after a thorough workup by a procedure is usually termed vascular specialist who should have a The Division of Vascular & Endovascular as venous ablation. This command of all possible alternatives Surgery will be offering a free Varicose means that the vein is literfor treatment. One treatment option Vein Screening on October 16, 2013. To ally closed off, preventing certainly is not sufficient to deal with schedule an appointment or for more either forward or backward all cases. Treatment is frequently information, please call 419-383-6810. blood flow through it. This done on an outpatient basis, which is commonly done now with heat therapy, using either laser or radiofrequency ablation (RFA) devices. In both methods, the vein is actually heated to the point where the vein clots and no longer Normal vein Varicose vein functions. In many cases, this might not be sufficient to control all the veins in the legs. In such cases, the veins changes and discoloration, chronic may be surgically removed, swelling, or even skin wounds that or “stripped.” do not heal properly. Such wounds Whether these veins are blocked are clinically called venous ulcers. through ablation or stripped, the They are typically difficult to heal patient needs smaller veins to be and easy to come back “recurrent removed. “Avulsions of the veins” ulcers” without an effective treatvia small (approximately 2 mm) inment regimen. cisions are made over the course of The good news is that varicose the problematic veins. These veins veins can be diagnosed readily and are removed or interrupted so blood treated rather successfully. The first cannot flow through them. This prostep in the treatment is to see a phycedure generally takes a short time to sician, preferably one well versed in perform and is done on an outpatient venous disorders, such as a vascular basis, allowing the patient to go home surgeon. Next, following an evaluathe same day. Small varicose veins tion, which should include taking a (less than 3 mm) can be treated with good medical history and physical chemical sclerotherapy, which is the examination, the physician will likely injection of a chemical designed to have the patient undergo a venous destroy the inner lining of the vein, duplex ultrasound. This is a rather causing it to no longer have flow. elegant name for a test that looks These injections can be done in the at the veins of the legs and how the course of an office visit. Recovery blood flows through them. Based on from any of these procedures genthe results of this test, your physierally involves rest, elevation of the cian will discuss treatment options. legs, and compression. There is no one treatment that fits all Thus, varicose patients and all cases. This is why it veins and venous is essential to consult with a specialinsufficiency are ist who can deal with all ranges of common probtreatment. lems affecting One non-invasive treatment that large segments may be recommended right away of the populais wearing compression stockings tion and causduring the day. These generally tighting both physical fitting stockings help keep blood and emotional from pooling in the legs and are esdiscomfort. They Hammad Amer, M.D. Jihad T. Abbas, M.D., FACS Munier M.S. Nazzal, M.D., FRCS, FACS Gerald B. Zelenock, M.D., FACS sentially offered Answers to crossword from page 22 to all varicosevein patients. If 1 2 3 4 5 6 7 R E P S A S B E S T O S Division of Vascular/Endovascular Surgery & Wound Care 8 the ultrasound U A G A P M A O Specializing in all diagnostic and interventions in peripheral vascular disease: 9 10 shows that the N A T U R A L B E R R Y • Noninvasive diagnosis • DialysisAccess 11 superficial veins N E E A I R G • Peripheral Arterial Disease: • PortalHypertension 12 13 14 of the legs do inEndovascular Interventions I L L N E S S Y I E L D • VenousDisease Open Procedures deed have that N L N H O T I Vascular • VaricoseVeins • Carotid Disease: 15 16 17 18 19 backwards flow, Laser Ablation G R A P P L E U S E S Endovascular Balloon/Stent Radiofrequency 20 21 22 SURGERY or reflux, then a Carotid Endarterectomy A R E S F G I Injection Sclerotherapy 23 24 25 26 minimally inva• Aortic Disease (Abdominal/Thoracic) B I C E P S B U N I O N • AVMalformation Open Aneurysm repair 27 28 sive procedure, • VascularTrauma I D P E S N F Endovascular Repair 29 30 open surgical • Wound/Ulcer Management Aortic Dissection K T R E A D M I L L E 31 32 procedure, or a • Renal/Intestine Vascular Disease E R A R U O E C Locations at: 33 34 combination of Phone: 419-383-3588 Toledo, Monroe, BG and Wauseon D I G E S T I O N T O T utmc.utoledo.edu/clinics/vascularsurgery

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Parkinson Foundation of Northwest Ohio Gala

You’re d! Invite Shake, Rattle & Roll! October 18, 2013

The Pinnacle • Maumee, Ohio 6:00 PM - 10:00 PM Cocktails at 6 • Dinner at 7 $50 per person • Cash Bar

Dinner, Dancing, and Silent Auction Emcee: Susan Ross Wells

Proceeds from the evening will be donated to the Parkinson Foundation of Northwest Ohio for Parkinson awareness, education and assistance programs. Please contact Stacey Dunbar at 419-878-8382 with any questions

26 October 2013 / Healthy Living News

hree days a week I give myself a shot to slow the progression of my multiple sclerosis (MS). My FDA-approved medication, Rebif (Interferon beta-1A), is made by EMD Serono, Inc. It has been shown to slow down the progression of my type of MS. This is the fourth year I have been giving myself shots. I do not like needles, and for the first three years, I injected my medicine by placing a prefilled syringe into a little plastic case called a Rebiject. I pushed a switch, and a spring apparatus gave me my shot. The drug company offered a new device for delivering the shot, and I decided to try the new Rebidose. It is more convenient: there is no assembly required; it is portable and goes where I go; the needles stay covered before and after the injection; and there are flexible dosing options. As a customer service, the pharmaceutical company calls patients to see how they are doing, offer help, answer questions, etc. They called me the week I started the new delivery system. I had a few questions, and since many of these phone interviews are taped, I shared my concern about the new syringe and holder. Life was good until I realized that instead of disposing of three little syringes into my sharps container (an FDA-approved plastic container used specifically for disposing of medical waste like syringes), I now had three syringes imbedded in a plastic injector. They were larger than the syringes, and I had to dispose of the entire injectors. I had gone from a quart-sized sharps container to a gallon-sized one. I felt bad about adding more plastic to my planet. I was using much more plastic with this new shot-delivery system. “I do not like the size of these injectors,” I told them, “I store my medicine in my refrigerator. The box

it comes in takes up about the size of a six pack of pop. I am concerned about the sharps container and my disposed injectors. Not only does the needle have to be put in the sharps like my last shots, but the whole injector does!” I told them I was concerned about the environment and more plastic waste. Plastic does not biodegrade; it lives forever. Then the nurse on the phone set me straight. EMD Serono, the Rebif manufacturer, sends two-gallon sharps containers to patients using the newer Rebif Rebidose injector. When the container is about full, the patient mails it in an addressed box with prepaid postage to the Sharps Compliance Program. Rebif ’s manufacturer partnered with the Sharps Compliance Program to manage medical waste. The injectors are sanitized, ground, and shredded into wasteconversion pellets called Pella-DRX. Pella-DRX represents an innovation in the field of medical waste management that includes the repurposing of material, once destined for a landfill, into a new resource capable of powering homes and businesses. The Waste Conversion Process TM transforms medical waste, including needles, syringes, lancets, and used healthcare materials as well as unused medications, into a new product called PELLA-DRX. This process eliminates Sharps Compliance’s landfill use by 100%. Some of the repurposed materials are used in manufacturing, industrial uses, and in cement (see chart). So, I felt by asking my question to the nurse during my follow-up call, I was doing my part for my planet. I was not going to continue with my bigger injectors if all that plastic was simply thrown out in a landfill. I would have gone back to my syringes. I found a quote on Facebook the

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day I gave myself my first shot: “Do your little bit of good where you are. It’s those little bits of good put together that overwhelm the world.” (Archbishop Emeritus, Desmond TuTu) My little bit is to try to reduce my plastic waste and to share what I learned about it with others. I will give it a shot! ❦

Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the Mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

What is PELLA-DRX?

Is PELLA-DRX safe to use?

PELLA-DRX is the end-product of a new, patented, and first-ofits-kind process called the Sharps Compliance Waste Conversion Process (“WCP”). The WCP processes medical waste that is traditionally incinerated or autoclaved and sent to landfills and repurposes it into an industrial resource. The BTU content of the PELLA-DRX has been shown to be equal to or greater than coal. Therefore, none of the Sharps Compliance processed medical waste ends up in landfills; instead it is repurposed into an industrial resource capable of powering homes and businesses.

Yes, PELLA-DRX is very safe. The rigid steps of the WCP include safety measures that render a clean and efficient shredded compact industrial material. The medical waste and used healthcare materials are processed through an autoclave procedure that completely destroys any disease pathogens and yields a new industrial material. The next step involves shredding the material, which reduces the volume by over 90%. And the last step compresses the material into a clean, compact pellet, making it indistinguishable from its origin and ready for industrial use.

What is it PELLADRX made of? PELLA-DRX is made of shredded and sterilized (consistent with sterilized surgical instruments) sharps medical waste and used healthcare materials that have been compressed into clean, safe, and compact PELLA-DRX pellets. The Waste Conversion Process renders the medical waste and used healthcare materials unidentifiable and as sterile as sterile surgical instruments.

We take the fear out of seeing the dentist! Khaldoun Attar, DDS

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Throw Away Your Dentures! Why throw away your dentures? Think of all the inconveniences and discomforts of wearing full dentures. This can be the solution for you. Who are the best candidates? The ideal candidates are those who are about to lose their teeth and those who are current denture wearers. What do we offer? Full-service dental office using the most advanced Oral Rehabilitation & Technology. We accept most dental insurances while offering easy payment options. Sun Dental & Dentures Advanced Oral Rehabilitation Center 4038 Talmadge Road, Suite 103 Toledo, OH 43623 (419) 720-0448

How do I get started? Call our office to schedule your free consultation with Dr. Attar. Call for your complimentary 3D scan and ALL-ON-4 consultation with Dr. Attar ($750.00 value). Visit our website: www.sundentalanddentures.com Sun Dental & Dentures Advanced Oral Rehabilitation Center 5801 Telegraph Road, Suite 1 Toledo, OH 43612 (419) 478-4440

How will PELLA-DRX impact the environment? The WCP fully eliminates the need to landfill Sharps’ medical waste, thus avoiding the need for future generations to solve our medicalwaste-disposal liabilities. Additionally, the company’s flagship solution offering, the Sharps Recovery System, relies on established mail and parcel carriers, whose vehicles are on the roads every day, eliminating the emissions from duplicate specialized medical waste disposal vehicles. ❦

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in September and October! FREE admission every Tuesday–plus FREE activities, live music and tours for our friends 60+. On weekdays in September and October, you’ll also get FREE coffee and mini muffin from 10 am until 2 pm at Timberline Bakery, plus 20% off at our gift shops. Visit toledozoo.org/seniors No further discounts will be allowed — cannot be combined with any other discounts or offers. presented by

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Cataract questions and answers by Bennett Romanoff, MD What is a cataract?

earlier in life!

The eye has a lens in it just like a camera. The purpose of the lens is to focus light on the retina. Normally, it is optically clear in order to clearly transmit images we see to the back of the eye. A cataract occurs when the lens starts to get cloudy. Ultraviolet light is the main cause of cataract formation. By the age of 18, we have experienced 80% of our lifetime exposure to UV radiation. In my 35 years as an ophthalmologist, I have never seen a 70-year-old patient who did not have cataracts. There are many different types of cataracts; however, nuclear sclerosing cataracts are the most common type. Other causes of cataracts are smoking, certain medications, injury to the eye, and systemic diseases such as diabetes. Smokers typically get cataracts much

What are the earliest symptoms of cataracts? Usually the earliest symptoms of cataracts are glare at nighttime, halos around lights, and the feeling that there is just not enough light to read in dimly lit rooms. Also, the loss of really clear vision is the chief complaint by most patients. Since typical cataracts develop so slowly, the diminished vision is typically not noticed early on. As cataracts progress, usually at a slow pace, the vision gets gradually worse. There are tests that can detect the earliest symptoms of

cataracts objectively; however, it is extremely rare that cataract surgery is recommended at this stage.

Can cataracts be prevented or treated medically? Since UV radiations is the main culprit in “normal” aging cataracts, avoiding UV radiation starting at birth is the best way to lessen the risk of cataracts. Transitions glasses, lenses that turn dark automatically when exposed to UV radiation, and polarized sunglasses protect one from UV radiation at 100% efficacy. Virtually my entire practice wears either or both of these lens types. There is no question that I have noticed that “normal” aging cataracts do not progress as rapidly in patients who no longer are exposed to UV radiation. I refer to this as “treating cataracts medically.” Smoking cessation helps in decreasing the advent and progression of cataracts. Certain medications such as steroids can cause non-aging cataracts. Avoidance or minimal use of these medications, if possible, helps

too. Annual eye exams are recommended every year after the age of 60 and every two years under that age. This is very helpful in early diagnosis and treatment plans of cataract and other eye diseases.

When does cataract surgery need to be performed? Usually when the vision drops below 20/40, the legal limit to drive a car, it is time to consider cataract surgery. Most patients know when it is time for surgery since they have trouble doing their daily visual tasks. Often, just getting a new pair of glasses can delay surgery in many cases. There are rare exceptions when cataract surgery can be performed earlier. The general rule of thumb with modern surgery techniques is that the earlier the surgery is done, the safer it is. Cataracts no longer have to be “ripe” to remove them as was the case more than a generation ago.

How is a cataract removed? The modern technique used is called phacoemulsification. High-speed ultrasound is used to emulsify the inner part of the cataract safely, quickly, and predictably. The procedure usually takes about 12 minutes and is done through a tiny wound, usually about 1/8th of an inch wide. Only the

419-843-6106. 28 October 2013 / Healthy Living News

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clear outer capsule of the lens remains after the cloudy part is removed. After this is done, an intraocular lens, usually made of acrylic plastic, is inserted in the capsule to restore good vision post operatively.

What is an intraocular lens? There are many types of intraocular lenses (IOL) available. Since the lens of the eye focuses light clearly onto the retina, when it is removed, one can no longer focus. The IOL is carefully determined, with the use of computers, prior to surgery so one can see well at distance after surgery with minimal use of glasses in many cases. Bifocals or reading glasses are still necessary in most patients after surgery. Still being developed are multifocal and astigmatism correcting IOL’s. These are considered “premium” IOLs, and patients have to pay out-of-pocket

since they are not covered by insurance policies. Premium IOL’s are not good in all patients, and it is very important to discuss these options with the ophthalmologist.

How safe is cataract surgery? Cataract surgery is the most common surgery performed in the United States. The success rate is typically 95% or higher. Even though complications can occur, serious complications are quite unusual. Pain or even discomfort is very unusual post operatively. If one has preexisting conditions on the retina, such as macular degeneration, macular scars, or diabetic retinopathy or other ocular disease, then the chance of 20/20 vision after surgery is diminished.

Can lasers remove a cataract? Generally speaking, the answer is

Fall fun continues at the Toledo Zoo

eaves are falling, but autumn fun flies high at the Toledo Zoo! No matter what the weather is, the Zoo always has something to make the day special. Visit the Zoo’s website, toledozoo.org, for more information about these and other upcoming events.

Weekdays in October: Senior Discovery Days, 10 a.m.-4 p.m.—Every

weekday, visitors age 60 and up get free 8-oz. coffee and mini-muffin (10 a.m. to 2 p.m.) at the Zoo’s Timberline Bakery, plus free Tuesday admission and parking in the Anthony Wayne Trail lot. Exclusive activities and discounts, too.

Starting Tuesday, October 8: Animal Myth Busters, times and dates vary—Ages 3-4 years.

Some animals are born with bad reputations, but many of them help us out in exciting ways. Overcome your fears and discover the nicer side of these animals with stories, songs, games, crafts, and Zoo animal visits. Separate fee.

Zoo member discount applies.

Saturday, October 12: Science Day, 10 a.m.-4 p.m.—Explore the

fun of science at Nature’s Neighborhood, the Zoo’s award-winning children’s zoo that’s open for creative learning yearround.

October 17-18: Little Boo at the Zoo, 10 a.m.-3 p.m.—

Preschoolers love Little Boo at the Zoo, the Halloween happening that’s just for them. Presented on a smaller scale that’s just right for little ones, Little Boo features trickor-treat stations, games, and more.

October 19-20: Pumpkin Path, 10 a.m.-4 p.m.—Frightfully delight-

ful—that’s Pumpkin Path, the area’s favorite family-friendly Halloween destination. Don’t miss trick-ortreat stations, games, magic shows, and more fun than you can shake a broomstick at.

October 26-27: Jumping Pumpkins, 10:30 a.m.-3 p.m.— Zoo

animals discover that the Great Pumpkin has visited their habitats. Will they make a meal—or a mess?

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no. However, very sophisticated lasers are just starting to be used for a limited part of the cataract surgery. These lasers are still not used by most ophthalmologists, and their widespread use remains to be seen. Since every case of cataracts is unique, it is still best to have a discussion with a medical eye doctor, an ophthalmologist, to determine what the best course of action is and individualize the treatment to your own needs. There is still no substitute for regular eye care. An ounce of pre-

vention is worth a pound of cure.❦

alarm that is hardwired into the building system rather than plugged in. This prevents any accidents in case the alarm is unplugged or even when the fire is not adjacent to the alarm’s location. Another helpful option would be to install a flashing or vibrating smoke alarm. The more sensory alerts, the higher the chances of surviving an emergency. Contact your local fire department. They may be able to provide an escape plan and perform a home inspection. Once you’ve finished installation, be sure to communicate your plan with your family members, building managers, and/ or neighbors. The best evacuation plan involves two ways out of each room. Practice your emergency evacuation from each room in the house. The more comfortable you feel with your plan, the safer you will feel during an emergency evacuation. And, as always, if we can answer any questions, please feel free to call and speak to one of our audiologists here at Northwest Ohio Hearing Clinic. ❦

Dr. Bennett Romanoff is Chief of Ophthalmology at Flower Hospital, a Clinical Assistant Professor of Ophthalmology at the University of Toledo College of Medicine, and an instructor of Ophthalmology in the Family Practice residencies with Flower and Toledo Hospitals. Since setting up his practice in 1978, Dr. Romanoff has helped thousands of patients in Northwest Ohio achieve better quality of vision with upto-date treatments and solutions.

Playing on a team offers something for everyone regardless of age, gender, cultural background, and physical ability or skill level. Do you want to have fun, enjoy camaraderie and participate in friendly competition? It is as easy as 1-2-3!

Call your local USTA League Tennis Coordinator.

CAPTAIN’S MEETING Thursday, September 5th at 7:00 p.m. at Laurel Hill

Play Tennis and have fun!

ATTENTION USTA League Tennis Players: The Combo and 40 & over Mixed leagues will have their captain’s meeting on Sept. 5 at 7:00 p.m. at Laurel Hill. We would like to thank and congratulate all of our players who participated in the 18 & over, 40 & over and 55 & over leagues this year. A special congratulations to the 3.0 Men’s 18 & over team captained by Chris Cunningham that will be advancing to the National Championships - Good luck!

NWO USTA League Tennis Coordinator

Amy Beaverson 419-472-1095 nwotaleagues@att.net

Congratulations to all of our District Champions!

MOKE THE TURKEY RICK GOMEZ MEMORIAL 5K Thanksgiving Day—November 28, 2013 All Proceeds Benefit:

Location: St. James Club, 7337 W. Bancroft St. Toledo, Ohio 43615 Time: 8:30 am Kids Fun Run 9:00 am 5k Run / Walk Course: Start and Finish at St. James Club. Course winds through St James Woods Entry Fee: 5k Run/Walk $25 (includes LONG Sleeved Race shirt to first 1500 5k registrants) $30 on race day (Race shirt not guaranteed) Kids Fun Run (6 and under) FREE (must have a signed registration form) FREE FUN CHICKEN CHUCKING CONTEST FOR KIDS AND BIG KIDS TOO!! Register: In person at the St. James Club or online at: www.eliteendeavors.com Printable applications at www.stjamesclub.net, www.davesrunning.com Mail printable applications to: St. James Club 7337 W. Bancroft, Toledo, OH 43615 Checks payable to: “Rick Gomez Memorial 5k” Divisions: Male/Female Overall; Male & Female: 10 & under, 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44,45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75 and over. Awards for top 3 in each age category. SCHMUCKERS FAMOUS PIE FOR ALL AGE-GROUP WINNERS!!! BUCKEYE • WOLVERINE DIVISION GREAT PRIZES FOR BEST-DRESSED FANS 2013!!! BEST DRESSED TURKEY OUTFIT SPECIAL PRIZE! Packets: Early packet pick up: Wednesday November 27: 1 pm to 7:30 pm at the St. James Club Race day SIGN UP and Packet pick up: 7:30 am to 8:45am, November 28, 2013 Parking: Westside Montessori School (just east of the St. James Club) and at the St. James Club Certified 5k course by USA Track and Field

30 October 2013 / Healthy Living News

Chip/Bib timing by Gault Race Management

How am I going to make sure I hear the smoke alarm? My audiologist recently diagnosed me with a hearing loss in both ears. I was fitted with hearing aids that really make it much better, but with my severe to profound hearing loss, I need to ensure I will be able to evacuate safely in an emergency situation. What can you suggest for me so that I will be able to respond if an alarm goes off?

Thank you for this question. You are correct in placing primary importance on your health and safety. Even though we are able to provide better hearing for our patients, there still is the risk one may not be able to hear all the sounds and activity around them. Many patients are selecting wireless hearing aids, which may be paired easily to any Bluetooth device, providing direct access to sound source. At this point, however, these hearing aids do not address a connection with smoke alarms. Most public buildings offer only an auditory alert in times of emergency. In the US alone, there are about 11 million deaf or hard-of-hearing individuals who can’t rely on these auditory alerts. It’s vital to also have a visual alert to aid those individuals who are severely hard of hearing. It would be ideal to install a fire

Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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ProMedica Toledo Hospital Breast Care Center: on the cutting edge of skill, technology, and compassion

ny woman who receives an aband the referring physician to ensure normal mammogram result or the patient is channeled into approexperiences symptoms that could priate treatment and the process is indicate breast cancer wants to as seamless as possible.” have her breast health evaluated That high degree of communicaas promptly, accurately, and comtion also includes providing very passionately as possible so she can prompt imaging results so patients understand what’s going on and never have to sit by the phone wonput her anxieties to rest. The great dering when they’ll hear something news for women in our community and worrying unnecessarily. For exis that this same aspiration motivates ample, a patient who recently came the dedicated team of radiologists, to the Breast Care Center after distechnologists, and covering a lump in nurse navigators at her breast was given the ProMedica Toledo both mammogram Hospital Breast Care and ultrasound exCenter. aminations during ProMedica Breast that same visit. The Care Center (on the additional imaging campus of The Toledo verified the presence Hospital), which is of a mass, and mere one of the largest of minutes later, she was its kind in the Midalready getting it biwest and has been opsied. designated a Breast Patients also apImaging Center of preciate the fact that Excellence by the the Breast Care CenAmerican College of ter offers all the imagRadiology, evaluates ing modalities they Dr. Robin Shermis all of the breast imagneed in one conveing obtained through nient location and that ProMedica’s Toledo Metro area hospithe nurse navigator schedulers take a tals (with the exception of ProMedica proactive stance by coordinating and St. Luke’s) and screening facilities. pre-certifying any additional studies That means all mammograms perthat may be necessary. formed at ProMedica facilities in the Dr. Shermis is especially proud Toledo area are certain to be read by of the Breast Care Center’s cuttingexpert, fellowship-trained radioloedge equipment, all of which repregists. sents the highest-quality technology If a problem is noted on a screenavailable. “We have three ultrasound ing examination or the patient obmachines that are dedicated strictly serves a worrisome symptom (for to breast ultrasound,” he explains. example, pain or a lump in her “Our advanced stereotactic machine breast), she’ll be asked to come to allows us to perform mammographithe Breast Care Center for a workup, cally guided breast biopsy when a which may include additional imagmass can’t be seen under ultrasound. ing or biopsy. She won’t leave the We’re also looking into tomosynthefacility without knowing what the sis, a 3D format of mammography, to problem is and how it will be manenhance our digital mammography aged. capabilities.” “Our number-one priority is comThe Breast Care Center boasts two munication with patients,” states pieces of equipment that are unique radiologist Robin Shermis, MD, MPH, to ProMedica. In fact, you’ll see nothMedical Director of ProMedica Breast ing like them anywhere else in Ohio. Care, partner Toledo Radiological The first is a dedicated breast MRI, Associates. “We see about 75 women which was designed and built specifihere every day, and we’re continucally to image breast tissue. This unit ally talking to them throughout the allows the radiologists to examine the whole visit. If they do need a biopsy, breast in multiple planes and in three our nurse navigators will step in to dimensions and produces images of explain what to expect afterwards. exceptionally high quality. Then, if cancer is diagnosed, the Dr. Shermis points out that even navigators will work with our team with the complexity of MRI, results

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are shared immediately, before the patient leaves, which is something few imaging centers can claim. “Why are we so adamant about providing prompt results? The women who undergo breast MRI are typically high-risk or known to have breast cancer and are having a pre-operative workup, so they’re understandably anxious. We don’t want them leaving here without knowing exactly what’s going on and what the next steps will be,” he explains.

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Even with the complexity of MRI, results are shared immediately, before the patient leaves, which is something few imaging centers can claim.

The second technology unique to the Breast Care Center is Molecular Breast Imaging (MBI). During MBI, the patient is injected with a special nuclear medicine tracer agent, which travels to the breast and is taken up by hypermetabolic cells that may indicate a cancer. When viewed under the dual-head digital imaging system, tumors show up as “hot spots” on the MBI images. The Center’s MBI machine, which was developed at the Mayo Clinic, is one of the best on the market and produces images of the highest resolution while using

the lowest possible dose of radiation. MBI also does a better job than mammography when it comes to differentiating between tumors and dense breast tissues. As Dr. Shermis explains, “On a mammogram, dense breast tissue appears white, but so do a lot of abnormalities that we look for, including tumors. That means tumors can be easily obscured by dense breast tissue. MBI does a great job of picking up the tumor hidden by dense tissue. Furthermore, MBI is very well tolerated by women, low cost, and highly efficient. Of course, as with MRI, patients will receive their MBI results before leaving the Breast Care Center.” Despite contradictory recommendations put forth by the US Preventive Services Task Force, Dr. Shermis strongly emphasizes that women should get a baseline mammogram at age 35 and then annual mammograms beginning at age 40. Those at higher risk based on family history should start getting screened even earlier. For example, a woman with a mother or sister who developed premenopausal breast cancer would want to begin screenings in her 30s. “Major papers coming out this fall substantiate this recommendation. Mammography unequivocally lowers mortality by 30 percent, and the radiation dose for these studies is miniscule compared to the benefit they provide,” he adds. In addition to cutting-edge technology, what really sets ProMedica Breast Care at Toledo Hospital apart is a combination of three fundamental priorities—offering the highest degree of expertise, open communication with patients, and going above and beyond for patients to ensure their care management is seamless. “I can’t underscore enough how dedicated our staff is to these priorities. I see it in them every day, and I consider myself blessed to work alongside them,” Dr. Shermis says. ❦

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32 October 2013 / Healthy Living News

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Combat acupuncture by Douglas Schwan, DC, Dipl Ac

try to keep up on things in my field, so I was a little taken aback when my daughter Cassandra, who is a marine, came home for a visit and told me that she had had acupuncture while deployed in Afghanistan. She said that she had hurt her back and also was having a lot of anxiety. Being from a chiropractic family, she wanted to avoid taking pills every day and getting on the medical merry-go-round. I didn’t realize that forward-serving veterans now had acupuncture available to them right on the battlefield! There is growing awareness in the military that psychiatric drugs and painkillers now being routinely prescribed across the U.S. military are leading to major complications with our soldiers. Violent suicides have shot upward to levels never before seen in history. The use of improvised explosive devices—IEDs—has led to a large number of traumatic brain injuries, and this, in turn, has led to a skyrocketing use of psychiatric drugs—drugs that can cause depressive, suicidal, and violent episodic behavior. The numbers are rising with over 200,000 soldiers having been diagnosed with this condition. James, a long time patient, had been seen with his family in our office while growing up. After high school, James joined the Marines and I saw him less frequently while he was overseas serving his country. On leave, after basic training, he visited our office with intense back pain. Carrying an 80-pound pack on tenmile hikes had jammed several vertebrae in his back. A combination of a few chiropractic and acupuncture treatments alleviated the pain, and

he returned to duty without problem. However, after partially finishing his tour of duty, James returned on leave to his home city with pain of another kind. He was suffering from emotional anguish, nightmares, and insomnia. He was diagnosed with post-traumatic stress disorder, PTSD, but antidepressants made him feel worse. He had heard of vets getting acupuncture for it in the service, but it was not available where he was and, worse, the doctors he dealt with were dismissive of it. James improved dramatically in the couple of weeks he was home, and we were able to provide treatment. When he returned to the service, I provided a letter from our office documenting our treatment and James’ response to it. I heard from him that he was finally able to find a physician willing to refer him for Alternative care while he was deployed. James is now off all psychotropic drugs and doing well. The Armed Services seem to be taking a new, progressive attitude when it comes to treating soldiers for physical and mental injuries. Acupuncture, counseling, and chiropractic are now available as an alternative to throwing potentially harmful and addictive drugs at problems. Indeed, several returning soldiers have told me that their treating physicians have recommended these Alternative therapies to them! The Veterans Administration (VA) is now approving these treatments for veterans upon leaving the service. Experimental research programs in Alternative Medicine for soldiers have been ongoing for years with the result that now these Alternative therapies are offered to provide a broader array of tools to effectively manage our returning and actively serving sons and daughters. It is really kind of interesting how the U.S. military was introduced to acupuncture.

The U.S. military first saw its power during the Vietnam War when local Vietnamese physicians were allowed to practice at a U.S. Army surgical hospital. American doctors were amazed to see massive pain relief just through the use of these strange techniques. One Army surgeon wrote

about what he had seen in a 1967 edition of Military Medicine, and that sparked the initial interest as traditional drug treatments for pain and PTSD were creating a population of drug-addicted veterans. Returning American doctors whose interest was piqued began

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Attention Lucas County Residents! The

Homestead Exemption is...

CHANGING!

Legislature has changed the Homestead Exemption eligibility rules, which will take affect in 2014. Taxpayers already on the Homestead Exemption program are grandfathered and do not need to do anything. To be grandfathered for the 2013 tax year, taxpayers must either be on the Homestead Exemption as of this year (2013) or file a “late application” by June 2, 2014. The Lucas County Auditor’s Office will continue collecting “late” 2013 applications until June 2, 2014.

Time is running out, get in before it’s too late! Are you... At least 65 years old by December 31, 2013,

Or...

Do you Qualify?

The surviving spouse of a qualified homeowner who was at least 59 years old on the date of their spouse’s death,

Or... Certified totally and permanently disabled before January 1, 2013,

And... Own your home as of January 1, 2013. Anita Lopez Lucas County Auditor

If so... Call today!

to study these techniques and treat patients. Studies were done with traditional needle acupuncture and other types, including needle-less laser acupuncture, involving soldiers and their families. The frustration with the broad use of drugs and their dire consequences spurred the expanded use of Alternative Medicine in the Armed Services. Chiropractic, acupuncture, and nutritional balancing were all first experimented with in small studies and later expanded to all service members and their families. Colonel Arnyce Pock, who is the medical director for the Air Force Medical Corps, has said that acupuncture comes without the side effects that are common after taking traditional painkillers. Acupuncture also treats pain quickly. “It allows troops to reduce the number of narcotics they take for pain and have a better assessment of any underlying brain injury they may have,” Pock said. “When they’re on narcotics, you can’t do that because they’re feeling the effects of the drugs.”

Homestead Department (419) 213-4336 or 4332

Acupuncture and chiropractic have a century-long history of treating and repairing injuries. In the last several decades, Western medicine has evolved to the point where it has realized the overuse of powerful pain and psychotropic drugs can be a cure worse than the disease. It is nice for physicians to have these Alternative Medicine tools in their bag to turn to as another technique to help our soldiers perform at their peak. ❦ If you would like more information on Alternative Medicine, please visit our website at www.acupuncturetoledo.com. Dr. Schwan is available to entertain your group while educating on a wide variety of Alternative Medicine topics, including chiropractic, acupuncture, herbal medicine, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. 419-472-7055. He is an author, lecturer, and one-time stand-up comedian. He has a practice in Toledo, Ohio.

Beyond wills: other essential elements of an estate plan by Scott D. Brown

state planning can be a complex and emotional process. Ensuring that your family is secure and that the disposition of your will is carried out according to your wishes are key planning considerations for any individual. In addition, you should consider what would happen if you were to become incapacitated and unable to oversee your own financial and/or medical affairs. In both of these cases, you can name trusted individuals (or entities) to step in and represent your best interests and carry out your express wishes.

Executors Executors play a critical role in executing your estate plan. The first and most important role of an executor is ushering a will through probate. Until this occurs, the estate cannot be settled and the assets are frozen. The Court first admits the will to probate and appoints the executor, who is responsible for gathering, inventorying, and protecting estate assets, paying bills and taxes. The executor then distributes the estate assets to 34 October 2013 / Healthy Living News

your named beneficiaries in accordance with the terms of your will. Executors pay all outstanding bills due at death, as well as expenses incurred after death. The executor is also responsible for the preparation, filing, and payment of tax due on the decedent’s final income tax returns and the Federal and State estate tax returns (including fiduciary income tax). The executor may need to raise cash by selling assets. The executor must maintain records of every transaction that takes place in the accounts of the estate. Finally, the executor must see to it that estate property is distributed according to the specific terms of the will. If, instead of outright distributions, the will calls for one or more trusts to be set up, the executor distributes the appropriate portion of the estate to the trustee.

Trustees If you have created trusts as part of your estate plan, you will need one or more trustees to manage the trust assets. One of the trustee’s first responsibilities is collecting estate as-

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sets earmarked for the trust. Another is ensuring the safekeeping of trust assets. For instance, if real estate is a designated trust asset, the trustee is responsible for maintenance and upkeep, paying real property taxes, insurance protection, and, if applicable, the collection of rent. For financial assets, such as cash and securities, the trustee must maintain one or more separate accounts on behalf of the trust and is usually responsible for managing those assets. A trustee should have a written investment plan that takes into account the needs and (sometimes conflicting) interests of beneficiaries—both current and future. Traditionally, trust investments were expected to generate income for beneficiaries who were entitled to distributions of net income, while the trust retained and reinvested principal. In some cases, the trustee may have the authority to make distributions of principal to beneficiaries. Today, most states have adopted rules 1 which essentially permit the trustee to utilize modern portfolio concepts and manage the trust assets for total return. The trustee may then elect to make current distributions to the beneficiaries, which permits them to 1 . The Uniform Prudent Investor Act

participate in the overall total return while the balance of the principal continues to grow.2 The trustee is responsible for the payment of taxes owed on any undistributed trust income and/or capital gains realized by the trust. These are reported on the trust’s fiduciary income tax returns. The trustee also informs trust beneficiaries of the amounts they must report on their personal tax returns. In short, the trustee serves as chief administrator—documenting every transaction that takes place in the trust accounts. Prior to final settlement, the trustee must demonstrate to the satisfaction of the remaining beneficiaries that all assets and income have been properly administered and distributed. While you may choose a family member or friend to serve as your trustee, given the significance of the trustee’s fiduciary responsibilities, an independent professional is often 2 . The Power to Adjust election is under the Uniform Principal and Income Act, companion legislation to the Uniform Prudent Investor Act.

the wiser choice. A corporate trustee can navigate complexities of trust management and estate settlement, bringing technical knowledge, tax planning expertise, and continuity of service across generations.

Advance directives—naming alternate decision makers While the roles of executor and trustee come into play after your death, who would act on your behalf to manage your finances and/or make arrangements for your medical care if you were unable to manage your affairs on your own? In these cases, legal arrangements, called advance directives, allow individuals to name alternative decision makers to speak and act on their behalf.

Among the advance directives you may want to consider are: Durable Power of Attorney—A power of attorney agreement gives another person legal authority to act on your behalf. The typical power of attorney takes effect when it is implemented; however, many states permit a “conditional” power of attorney that goes into effect only when a specified event occurs, such as incapacitation. The power-of-attorney agreement ends at your death, which means this individual or entity can no longer handle your affairs when you die unless you also name them as your executor. Durable Power of Attorney for Health Care—A power of attorney for health care is a legal document that gives another person permission to make medical decisions for you if you are unable to make those decisions yourself. The person you name to represent you may be called an agent, attorney-in-fact, health care proxy, patient advocate, or something similar, depending on where you live. Living will/health care directive— This document authorizes your wishes concerning life support in the event of a terminal medical condition. Health care directives vary from state to state; check to find out the

Your Financial Future: Will You Be Ready? Getting your financial and investment act together takes time and close attention to detail. With more responsibilities, the process becomes even more complex. As a Morgan Stanley Financial Advisor, I have access to a range of resources, advice and services to help you meet your needs. Please call me to arrange a meeting about your wealth management needs. Scott D. Brown First Vice President Financial Advisor 7124 W. Central Ave Toledo, OH 43617 419-842-5312 scott.d.brown@morganstanley.com http://www.morganstanleyfa.com/thefadelbrowngroup/

• Equities, fixed income and mutual funds • Trust and estate planning services • Alternative strategies • Individual Retirement Accounts • Brokerage services • Business financial services • Lending services • Financial planning services

The appropriateness of a particular investment or strategy will depend on an investor’s individual circumstances and objectives. Morgan Stanley Smith Barney LLC, its affiliates and Morgan Stanley Financial Advisors do not provide tax or legal advice. This material was not intended or written to be used for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning and other legal matters. Morgan Stanley Smith Barney LLC is a registered Broker/Dealer, not a bank. Where appropriate, Morgan Stanley has entered into arrangements with banks and other third parties to assist in offering certain banking related products and services. Banking and credit products and services are provided by Morgan Stanley Private Bank, National Association, Morgan Stanley Bank, N.A. or other affiliates. Investment services are offered through Morgan Stanley Smith Barney LLC, member SIPC. Unless specifically disclosed in writing, investments and services offered through Morgan Stanley are not insured by the FDIC, are not deposits or other obligations of, or guaranteed by, the Bank and involve investment risks, including possible loss of principal amount invested. © 2012 Morgan Stanley Smith Barney LLC. Member SIPC.

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Developing a personalized estate plan requires a structured approach that is consistent with your overall financial goals. Working with your attorney and other key advisors, I can work with you and your legal and tax advisors to help you create an estate plan that meets your needs.❦ If you’d like to learn more, please contact Scott Brown, First Vice President, Financial Advisor, Morgan Stanley Toledo, OH, at 419-842-5312. Article by McGraw Hill and provided courtesy of Morgan Stanley Financial Advisor. The author(s) are not employees of Morgan Stanley Smith Barney LLC (“Morgan Stanley”). The opinions expressed by the authors are solely their own and do not necessarily reflect those

of Morgan Stanley. The information and data in the article or publication has been obtained from sources outside of Morgan Stanley and Morgan Stanley makes no representations or guarantees as to the accuracy or completeness of information or data from sources outside of Morgan Stanley. Neither the information provided nor any opinion expressed constitutes a solicitation by Morgan Stanley with respect to the purchase or sale of any security, investment, strategy or product that may be mentioned. Morgan Stanley Smith Barney LLC (“Morgan Stanley”), its affiliates and Morgan Stanley Financial Advisors or Private Wealth Advisors do not provide tax or legal advice are not “fiduciaries” (under ERISA, state law, the Internal Revenue Code or otherwise). This material was not intended or written to be used, and it cannot be used, for the purpose of avoiding tax penalties that may be imposed on the taxpayer. Clients should consult their tax advisor for matters involving taxation and tax planning and their attorney for matters involving trust and estate planning, which may include taxation, and other legal matters pursuant to applicable law and regulation. Morgan Stanley Financial Advisor(s) engaged Healthy Living News to feature this article. Scott Brown may only transact business in states where he is registered or excluded or exempted from registration http://www. morganstanleyfa.com/thefadel-browngroup/.Transacting business, follow-up and individualized responses involving either effecting or attempting to effect transactions in securities, or the rendering of personalized investment advice for compensation, will not be made to persons in states where Scott Brown is not registered or excluded or exempt from registration. Morgan Stanley Smith Barney LLC. Member SIPC.

Metabolic Weightloss Clinic now offering i-Lipo and HCG combination

he Metabolic Weightloss Clinic of Ohio is excited to now offer not only our HCG advanced therapy for weight loss, but also i-Lipo Laser Liposuction. This revolutionary system combines vacuum massage and low-lever laser therapy to achieve amazing results. Now is the time to start focusing on you, and we are here to help. Not local to the Findlay, OH area? That’s okay. We offer free consultations by phone. Laser liposuction provides cellulite reduction, skin tightening, and body contouring while eliminating fat, and melting away inches. It is safe and effective for all skin types. No pain, no needles, and no downtime. This specific combination delivers exceptional results while promoting skin renewal, lymphatic drainage, and improved circulation. You can melt away those pesky few inches that just will not seem to disappear with just diet and exercise. Our HCG program is a threephase, medically supervised plan using only prescription-strength HCG. Our physician and trained professional staff help you to achieve your weight-loss goals through education and continual support. Clients lose between onehalf and one pound per day. Our average weight loss is 20.7 pounds in just four short weeks. The HCG program is safe and effective for clients with diabetes and/or high blood pressure. Our medical staff provides direct oversight to our

clients with secondary diagnosis outside of being overweight. We offer the injection and oral HCG programs as well as B-12 injections during your program. It only takes one trip to the office to get started. No weekly visits are required for the HCG program. We offer packages of the i-Lipo and HCG combination to maximize your results. While HCG provides an overall weight loss, the i-Lipo laser liposuction targets fat in a specific area, meaning you can shed pounds and inches all over your body and focus on losing additional inches in those “problem areas,” such as your abdomen, love handles, hips, and thighs. Our best results to date have been seen with clients taking advantage of the packages combining the HCG and iLipo treatment at the same time. Our clinic offers the lowest prices of i-Lipo in Ohio, and our combination package prices can’t be beat. Call the clinic today at 419423-6879 or toll free at 866-351-8794 to schedule your free consultation. You can also find additional information on our website at www. hcgmetabolicweightlossclinic.com. If you prefer, you can email us your questions at customerservice@hcg metabolicweightlossclinic.com. Our office hours are Monday through Thursday 9:00 a.m.–3:00 p.m. and Friday from 9:00 a.m.–5:00 p.m. Exceptions to these office hours are made by appointment. ❦

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Running tips for beginners by Amanda Manthey

re you interested in running but afraid of the first steps? Here are a few tips to get you off on the right foot and on your way to enjoying the sport of running. Most important, consult your physician before starting any exercise program. As a runner, the most important piece of equipment is your pair of running shoes. Before starting your running program, visit a shop that specializes in running shoes, such as Dave’s Performance Footgear, for an assessment of your needs and a personalized fit. One of the most common complaints of a new runner is, “I can’t breathe.” Focus your energy on exhaling rather than inhaling. As your need for air increases, think about forcing the air out of your lungs rather than sucking it in. This will make you less tired than when you are huffing and puffing and will also help prevent hyperventilation. In the beginning, take frequent short runs after resting sufficiently. Your runs should last long enough

for your body to get a workout but still be able to recover in time for your next run. If you over exercise and your muscles do not recover to their original condition, you will not gain any benefit. Strength is gained during rest when your muscles repair the fibers that are broken down during exercise. But remember, every runner is different when it comes to the amount and frequency of exercise that is appropriate. Listen to your body. As a novice runner, take quick steps rather than long ones. You will not tire as fast if you take short, fast steps rather than long, slow ones, especially when you are tackling hills. When running downhill, lean your body forward in order to try to keep your body perpendicular to the hill. Novice runners need motivation and a schedule. Join a beginner running group, or seek out a running partner. Some runners find that taking music along on their workouts helps make running fun. When using headphones, though, play the music

at a reasonable level so you can hear traffic noise and remain alert to potential hazards. Speaking of hazards, if you are running alone, carry identification and always run against traffic, preferably on sidewalks or running paths. One of the best ways to improve and get more enjoyment out of running is to enter road races. The experience of finishing a running race is exhilarating. Start with the goal of a 5K (3.1 miles) road race, “fun run,” or a relay race with your running friends. Races can provide the foundation for enjoying a long life of running. Happy running! ❦ Amanda Manthey is a former collegiate runner at Eastern Michigan University. She writes about running and fitness for Dave’s Running Shop.

Don’t miss Dave’s races! Runners, get ready to “take your mark” in these exciting community events sponsored by Dave’s Running Shop. Which Way 5K Saturday, October 5, 2013, 9:00 a.m. at 0064 County Rd. 16, Napoleon, Ohio. 1K Fun Run/Walk begins at 9:15 a.m. Leaders Farms,

home of the Maize and ScreamAcres, would like to invite you to the first annual Which Way 5K! The course is set on a beautiful 160-acre farm! This 5K trail run/walk will take you up and down hills, through the woods, and all around our farm! If you want a shorter course, please consider our 1K Fun Run/Walk! Perfect for little legs and those who just want to enjoy the outdoors! Leaders Farms is located one mile west of Napoleon, south onto county road 16. For more information, please email fallfx@ bright.net. Fountain to Fountain Saturday, October 5, 2013 at 1200 Ralston Ave., Defiance, Ohio. 5K starts at 9:00 a.m. Walk starts at 9:05. For more information, please email kokuley@okuley pharmacy.com. Sarah’s RuN Saturday, October 5, 2013 at Secor Metropark, 10001 W. Central Ave., Berkey, Ohio. 5K starts at 9:00 a.m. Kids 1 Mile Fun Run starts at 8:15 a.m. Sarah’s RuN is a memorial 5k held yearly in loving memory of Sarah Burnard Heator. The monies raised from the 5K and silent auction are used to fund the Sarah Burnard Heator Memorial Scholarship for RN students. For more information, please email kburnard@kingston healthcare.com. Bridging the Gap to Heart Health

The Blade and The Toledo-lucas counTy PuBlic liBrary PresenT

authors! authors! 2 0 1 3 - 1 4

Wed.

10/2

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thurs.

11/7

McMaster

Jimmy Santiago Baca

Jeff Greenfield

The program, now in its 19th year welcomes bestselling authors to Toledo as they discuss their writing and careers, answer questions and sign books.

Wed.

thurs.

stranahan

McMaster

3/5

5/1

Zadie Smith

Rick Atkinson

Wed.

5/14

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Henry Winkler

Tickets are $10/$8 students and can be purchased at any Library location. Books are available for purchase at each event by Barnes & Noble. For more information, call 419.259.5266.

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5K, 10K, Kids Fun Run Saturday, October 5, 2013, at 9269 CR 21 N. Kids Fun Run starts at 9:15 a.m. 5K Run/ Walk and 10K Run start at 9:30 a.m. For more information, email rachel. kinsman@odh.ohio.gov. Findlay Red, White and Blue Sunday, October 6, 2013 at Riverbend Lodge, 16618 Township Rd. 208, Findlay, Ohio. Half Marathon starts at 8:20 a.m. 10K starts at 8:30. For more information, please email sparsons@ findlayymca.com. Walk to Defeat ALS Sunday, October 6, 2013, 1:00 p.m. at the University of Toledo, 2801 West Bancroft in Toledo. Please come out and walk with us to raise funds to defeat ALS. The walk has a new venue at the University of Toledo and will feature a 2.5- or 1.25-mile walk. Plenty of activities for the kids as well as refreshments for all. For more information, please email suewambold@bex.net. Power Play 5K Saturday, October 12, 2013 at 417 N. Mercer Rd. in Bowling Green, Ohio. 5K starts at 10:00 a.m. Kids Fun Run starts at 10:45 a.m. Our 5k race was created to benefit the youth of Bowling Green Ohio and the surrounding communities and to strengthen the positive impact of the Bowling Green Youth Hockey Association. Our Race is a nice fast and flat course on the Campus of BGSU.

It starts and finishes at the BGSU Ice Arena. For more information, please email powerplay5k@gmail.com. The Great Pumpkin Dash Sunday, October 13, 2013 at 6564 Sylvania, Ave. in Sylvania, Ohio. 5K starts at 9:15 a.m. 1K Kids Fun Run starts at 8:45 a.m. Pee Wee Fun Run begins at 8:30 a.m. For more information, please email cbillau@ymcatoledo. org. Heartland Hospice Memorial 5K Run/Walk Sunday, October 13, 2013, 9:00 a.m. at Connor Park in Fremont, Ohio. A fun, competitive 5k walk/run race. All proceeds will go to the American Heart Association and Alzheimer ’s Association. For more information, please email mwilson1216@gmail.com. Trick or Trot 5K Run and Zombie Walk Saturday, October 19, 2013 at The Shops at Fallen Timbers, 3100 Main St. in Maumee, Ohio. 5K Run/ Walk begins at 9:00 a.m. “Zombie Walk” begins at 9:05 a.m. Proceeds to benefit Diabetes Youth Services. For more information, please email darlene.gallaher@walgreens.com. Racing for Recovery 10K/5K Sunday, October 20, 2013, 9:00 a.m. on the campus of Lourdes University, 6832 Convent Blvd., Sylvania, Ohio. The day’s events will begin at 7:00 a.m. with check-in and registration

followed by a kids fun run at 8:30 a.m. (free for children 9 and under). The feature 5K/10K Run/Walk begins at 9:00 a.m. and is followed by an awards ceremony at 10:30 a.m. Music, refreshments, and family fun will be a part of the day. Dressing in a halloween costume is encouraged and prizes will be awarded. For more information, please email jeff.taylor@ davesrunning.com. Unleash the Undead Saturday, October 26, 2013, 9:00 a.m. at Secor Metropark, 10001 Central, Ave., Lone Oak Shelter, Berkey, Ohio. If you thought a 5k was hard, try finishing without being devoured by flesheating zombies who have been unleashed around Secor Metropark. Test your speed and survival skills at Toledo Area Humane Society’s first annual zombie run. Will you survive or lose your brains? Only time will tell! For more information, please email humanehustle5k@toledoarea humanesociety.org. The Nash Dash Saturday, October 26, 2013 at 5454 Berkey Southern Rd., Whitehouse, Ohio. Nash Dash 1K Kids Run begins at 9:30 a.m. Nash Dash begins at 10:00 a.m. 5k run/walk and 1k kid’s fun walk at Oak Openings Metropark in Nashton James

Hood’s honor. October 15th is Pregnancy and Infant Loss Remembrance Day. The purpose of the event is to bring community members together for awareness and support for community members who have lost a baby. For more information, please email montesa75@aol.com. The Boo Run Run Saturday, October 26, 2013, at 303 W. Main St. in Napoleon, Ohio. 5K and 10K runs begin at 9:00 a.m. Kids Run begins at 8:45 a.m. This event was organized to raise funds to establish the Napoleon Civic Center. For more information, please email kimoberhaus@yahoo. com. Get the Lead Out Sunday, October 27, 2013 at Ottawa Park, 2625 Kenwood Blvd. in Toledo. 5K Run/ Walk begins at 9:00 a.m. Kids 1K Run begins at 8:30 a.m. This is the third annual event for the Toledo-Lucas County Health Department and the Childhood Lead Program to help raise awareness of the dangers of lead-base paints and environmental lead to childhood health. The course is 3.1 miles around Ottawa Park. For more information, please visit www.gettheleadout5k.info or email debruyns@co.lucas.oh.us. ❦

Elizabeth Scott director named to state board

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att Bucher, Director of MarOCAL has two objectives. The keting for the Elizabeth Scott first is to ensure that senior resiCommunity, has been appointed to dents in Ohio have access to quala one-year term on the five-member ity assisted-living services and the board of directors of the Ohio Cenmeans to acquire those services. The ters for Assisted Living second is to create an (OCAL), an affiliate of the environment that offers Ohio Health Care Assoassisted-living providers ciation. Bucher is filling ready access to available out the second year of a resources and opportutwo-year board position nities for advancement. that had been vacated. The Ohio Centers for As a member of the Assisted Living also proOCAL board, Bucher will vides its members with participate in monthly leadership, governmental conference calls with support, and continuous other board members professional education. Matt Bucher and OCAL administraOCAL has a membertors. He will also attend ship of more than 180 two meetings in Columbus. facilities that care for nearly 9,500 “OCAL was formed to stay ahead Ohioans. Membership in the orgaof any pending state or federal regunization is voluntary. OCAL also lations that will affect the assistedprovides continuing education for living industry,” says Bucher. “Its role assisted-living administration and is to keep the lines of communication caregiving staff through stand-alone open with assisted-living facilities programs, webinars, conferences, in Ohio and make them aware of and the OHCA/OCAL/OCID annual changes in regulations. My role is to Convention. represent the assisted-living facilities The Elizabeth Scott Community that are members of OCAL and work was established in 1949. It provides to keep their best interests in mind.” Independent Living, two levels of We love comments and feedback. Like us on Facebook. Follow us on Twitter.

Assisted Living, and Skilled Rehabilitation to its residents on a single campus located at 2720 Albon Road,

Maumee. For more information, visit www.elizabethscott.org or call 419865-3002. ❦

At The Laurels

Double knee replacement can’t hinder highly motivated Laurels rehab guest

uccess in rehab following surgery or injury requires the guidance and support of a highly skilled physical and occupational therapy team. But the therapists’ expertise and dedication can take the patient only so far on the road to recovery. Optimal rehab outcomes depend just as much—if not more—on the patient’s level of motivation. Laurels of Toledo rehab guest Lorene Watts more than exemplified this principle after recently undergoing bilateral knee replacement surgery. Watts’ knee problems had been building for the past 15 years. The cartilage in her knee joints had worn to the point that bone was rubbing against bone and pain was her constant companion. What’s more, she worked in home healthcare and had a patient with Alzheimer’s disease

who required constant chasing. Cortisone shots offered only temporary relief. Her rheumatologist advised her that she’d eventually need knee replacements. She wanted to hold off doing the surgery until she reached age 65, but she only made it to 62. Her knee pain had gotten so bad at that point that she decided to retire in 2009. “The pain improved somewhat after I retired and no longer had to do all that chasing,” she recalls. “But then one night, I got out of bed to go to the bathroom and my left knee just locked up on me. My orthopedic surgeon, Dr. Joseph Assenmacher, always said, ‘You’ll let me know when it’s time to do the surgery.’ And he was right. It was time.” Laurels physical therapist Lynne Nidek, who works with Watts, notes

that getting both knees replaced ier for her to manage many common within a few days of each other is activities of daily living, such as getuncommon nowadays. “The rehab ting out of a chair, climbing stairs, for knee replacement is intense, so getting in and out of a vehicle, get most people elect to recover from in and out of the bathtub, etc. one replacement before going back Because The Laurels offers comfor the other. Mrs. Watts is unique in prehensive outpatient rehab services, that she decided to get it all done at Watts has continued her rehab there once. But she has been an amazing every Monday, Wednesday, and Fripatient. She’s highly motivated and day since she transitioned home. This has progressed very fast and very has given her the opportunity to conwell,” she says. tinue working with the same therapy The focus of Watts’ physical therteam and prevented any lapses in apy has been primarily on improvher progress. In fact, within a week ing range of motion (ROM)—the of beginning outpatient therapy, she degree to which she can bend and hit the 110-degree mark in her range straighten her knees. (Normal ROM of motion. for knees is 120 to Watts also apWith the help of Lynne Nidek, preciates the fact 140 degrees.) The Lorene Watts is expected to that The Laurels offirst benchmark achieve a higher level fers free van shuttle therapists look of function than service to and from for is the ability to before her surgery. bend the knees 90 outpatient rehab degrees, which, as appointments for Nidek notes, alguests who live lows the patient to within a five-mile function, but not radius. “I’m not reespecially well. leased to drive yet, After 30 days in and my husband inpatient rehab at isn’t well and needs The Laurels, Watts a hip replacement, had achieved 104 so we’re extremely degrees of flexion appreciative of this bilaterally, which service,” she says. made it much easWatts’ choice to

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In your home or ours.

do her rehab at The Laurels was inspired partly by loved ones and friends who work there—including her grandson, Anthony Hamilton— but also by her own impression after touring the facility prior to surgery. “In deciding where to go, my biggest concern was getting the high quality of care I would need so I could transition home and back to normal activities,” she says. “After everything I saw on the tour and all the reports I heard, I was confident that The Laurels was the right choice for me.” With her range of motion approaching normal limits, Watts and Nidek are now focusing on strengthening activities. At this writing, Watts has progressed from a walker to a cane and can even walk short dis-

tances in her home without the cane. Nidek hopes to help her ultimately achieve an even higher level of function than she had before the surgery—and she’s confident in Watts’ ability to reach that goal. “She continues to bring that same high level of motivation to her rehab. She’s determined to succeed, she does everything we ask her to do, and she takes a very active part in her rehab,” she states. ❦ The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

BySister Mary Thill

Spiritually Speaking Where is God in all this? God is not in what happens to us; he’s in what we do with what happens to us…. God doesn’t send the heart attack, but he gives you the grace and stamina to work through it. Your baby didn’t die because God needed a baby in heaven. That’s bad theology. Your baby died because the baby had a congenital abnormality or you were on drugs. We can work through that. —Brother Richard Hirbe

Compassion. Courage. Comfort. When you hear a loved one needs hospice care, it can be overwhelming. What matters most is maintaining a life of quality and dignity with comfort. At ProMedica Hospice, we can help you and your loved one on this journey by providing expert support and guidance.

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s I write this article, there is talk of “war” with Syria and perhaps even more trouble in the Middle East. They say they have proof that the Syrian leaders have poisoned their own people with chemicals. They say they are killing their own people with bombs and guns. They say the people of Egypt are being killed by their own soldiers when they protest the way the government is doing things. We now look back on the history of violence and genocide in Africa and the atrocities of WWII, the Korean War, Vietnam, our own Civil War, the Civil Rights Movement, and the wars in Iraq and Afghanistan, and we can ask ourselves, “Where is God in all this?” I tend to agree with Brother Hirbe, “God is not in what happens to us: he’s in what we do with what happens to us.” Along with many people I have talked with over the years, I have said that God is right there in the struggle, the shooting, the rape, the takeover, etc. And perhaps God is in it all, but

now I’m inclined to go along with the thought that God really didn’t have anything to do with the awful stuff, the sins of humanity. He gave us the free will to do these terrible things to one another, but he really didn’t do it—we did! The consoling thought for me is that God will help me deal with all the awful stuff and does so even if I’m not aware of his presence. How does he do it? Let me count the ways. With the exception of the miracles of healing that Jesus did as recorded in the Scriptures, God doesn’t seem to come down here and perform miracles anymore. He lets us have the privilege of healing one another. Working at a medical center, I see the miracles all around me. Doctors perform heart surgery with the help of a robot that can move things within the heart that even a very skilled surgeon’s hands would find very difficult or impossible to do. The very fact that we can perform surgery on a heart or other essential organs in our bodies is a miracle. That the body heals after this trauma with

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the loving and compassionate care of our nurses and therapists is yet another miracle. In my community of Sisters, we have a prayer line on which we post requests for prayers for the Sisters, our loved ones, friends, and co-workers. It is accessed via e-mail or phone. Time after time, I hear folks remark that it was the prayers of the Sisters that brought healing to their family member. We also post death notices of family members and friends, and people write in or call and tell how consoling and healing it was for them to know that the Sisters prayed for them and their family at such a difficult time. Did you ever think of firemen and policemen and their female counterparts as healers and helpers who perform miracles every day? Have you seen or heard a Life Flight helicopter overhead and realized what a miracle it is to have such healing friends in the sky helping out in some of the most horrific traumas we see these

days caused by accidents or illnesses? Do you say a prayer when you pull over and let the ambulance or rescue squad or fire truck go by, which may be your way of entering into the miracle of healing for the person or people they will encounter? I think you get my point. Some of us may wonder why God doesn’t intervene more directly with the awful things happening in our world. I think he does. He made me, and that may be the chief reason I’ve been put on this earth. It may not be the only reason, but it certainly can be one of them. Let’s see how aware we can become of our being God’s helpers in our everyday lives, and some day we may say that we have also performed miracles. ❦ Sister Mary Thill is a Sylvania Franciscan Sister. She is Patient Liaison for Mature Health Connections at Mercy St. Vincent Medical Center. She can be reached at 419-251-3600.

Eating Well by Laurie Syring, RD/LD

Nutrition and breast cancer basics

efore I delve too deeply into this month’s topic of nutrition and breast cancer, I need to emphasize that, despite any overblown marketing claims to the contrary, there’s no single “super food” or food substance that can protect you against cancer. However, scientists do know that the right combination of foods in a mostly plant-based diet does play a role in maintaining healthy cells and preventing cancer. Furthermore, all cancers are not created equal. Some cancers (like lung and pancreatic) are more likely to kill you than others (like prostate and breast). Some cancers (like colon and cervical) are easier to detect at early stages than others (like ovarian and esophageal). And some are more closely linked to what and how much you eat than others. Still, no matter how well you eat, no one can guarantee that you won’t get cancer—but you can lower your risk. Also bear in mind that smoking increases your risk of cancer 20 fold!

Fruits, veggies, and breast cancer protection It’s a sobering fact that no other cancer strikes as many women as breast

cancer, though lung cancer claims more women’s lives. We need every ally we can find in the fight against this disease! One significant factor that increases the risk of post-menopausal breast cancer is excess weight—not just being obese, but simply being overweight. Also, being active and carrying less weight gives breast cancer patients better odds of surviving. The nutritional “punch” of our food matters too. Evidence continues to show that the minerals, vitamins, and phytochemicals found in plantbased foods interact to provide extra cancer protection. The emphasis here is on interaction. These nutrients work more efficiently together than they do on their own, which is why it’s important to get your nutrition from food rather than a pill. So, think food first—specifically fruits and vegetables, which are rich in cancer-fighting phytochemicals. There are more than 900 types of phytochemicals, including the antioxidants beta carotene, lutein, and lycopene. These chemicals inhibit the reproduction of cancer cells and slow the growth of tumors, help prevent tumors from releasing sub-

With our VA contract, we can accept veterans who are not well enough to go home after their hospital stay. We also have long-term beds available, should the need arise. Your benefits may cover: Room • Meals • Skilled nursing care • Physical, speech, and occupational therapy Respiratory therapy • Medical and nursing supplies • Oral medications Most items of durable medical equipment • Routine laboratory tests • Routine physician visits We suggest contacting Veteran’s Services Commission Office in your county for assistance with veteran’s benefit questions and to verify skilled nursing benefits.

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stances that destroy healthy cells, and prevent the kind of damage known to trigger the cancer process. Simply put, phytochemicals go around the body, cleaning up the stuff that causes disease. To get more phytochemicals in your diet, strive to eat four to five cups of fruits and vegetables daily. If you eat one cup of fruit at breakfast, one cup of veggies at lunch and dinner, and one cup of fruit for dessert, you’ve hit the target! Also, try to “Eat the rainbow”—i.e., choose dark-colored fruits and vegetables, which are rich in phytochemicals, vitamin D, and carotene. A good “rainbow” of choices includes tomatoes, watermelon, broccoli, Brussels sprouts, cauliflower, spinach, kiwi, carrots, cantaloupe, oranges, peaches, grapes, cherries, blueberries, plums, and prunes to name a few.

Soy foods and cancer risk After years of conflicting information, many people may still be con-

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fused about the alleged association between soy foods and cancer risk. This has long been a source of controversy, so let’s try to sort soy fact from soy fiction. First, soy was thought to be good for you, as Asian women who eat a diet high in soy had a lower rate of breast cancer. Then researchers noted that isoflavone, a phytochemical found in soy, increased the growth of estrogen-receptorpositive breast cancer cells. Then at least five studies in breast cancer survivors showed that soy consumption did not increase the chance of reoccurrence or death. In fact, soy eaten in moderate amounts each day is a healthful alternative to meat, though it’s important to choose soy in its most unprocessed form— tofu, tempeh, soy milk, edamame, and soynuts. Soy foods are among the many plant-based foods that can help women get to and maintain a healthy weight. Soy is a healthy food for everyone, including breast cancer survivors and those survivors taking Tamoxifen. You can feel comfortable eating it. Recommendations are one to three servings per day. A serving equals one cup of soy milk, a half cup of cooked soybeans, one-third cup of soynuts, or a half cup of tofu.

Chemo and radiation considerations Those undergoing chemotherapy and radiation for breast cancer can experience many nutritional side effects, such as nausea and vomiting, diarrhea, sore mouth, reduced appetite, reduced immunity, taste changes, and weight gain or loss. Still, maintaining adequate nutrition and

food intake during treatment is vital to minimize deficiencies and boost your immune system. It’s critical for cancer patients to follow their doctor ’s nutritional recommendations, which are designed to help them cope with the cancer and its treatments. Also, be sure to advise your doctor of any herbs or vitamins you’re taking as some can interfere with cancer treatments.

Closing thoughts It’s important to make good nutritional choices that improve your general health and wellbeing as well as to reduce the risk of chronic diseases that may result from cancer therapy. Also, the American Institute for Can-

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Laurie Syring, RD/LD, is chief clinical dietitian at ProMedica Flower Hospital.

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Why don’t I sleep like I used to? by Neha Yakhmi

hy don’t I sleep like I used to? It’s a question many older adults have, and they often have a lot of reasons to blame: not keeping up with daily activities as well as before, an uncomfortable bed, a snoring partner, daily aches and pains. Some of these things are true; many older adults can attribute poor sleep to many different causes. But the fact is, as we age, our sleep cycles naturally change, no matter the environmental circumstances. For one, we spend less of our time sleeping. Some say this is because we require less sleep; some say it’s

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cer Research strongly advises cancer survivors to include physical activity and a well-balanced, plant-based diet in their health-maintenance routine in order to reduce the risk of other chronic problems, such as heart disease and diabetes. Just remember that there are no “magic bullets” when it comes to food, nutrition, and supplements. To help reduce your breast cancer risk, think food first, get active, achieve and maintain a healthy weight, choose more fruits and vegetables, and work soy products into your plan. ❦

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because we take longer to fall asleep and wake up more easily. Also, the timing of the stages of sleep changes; Stage 1 sleep (light sleep) increases, and Stages 3 and 4 sleep (deep sleep) decrease. We also have less REM sleep. Because of this, we wake up feeling less rested. As we age, some of us also may experience what is called Advanced Sleep Phase Disorder, which means that our sleep schedule is a few hours earlier than what is “normal.” We wake up extremely early in the morning and then want to go to sleep earlier at night. The next morning, we may wake up even earlier, and the cycle perpetuates. It can continue to worsen, but you can take some steps to break the cycle. Fight the urge to go to bed earlier and earlier; instead, have a set bedtime that is desirable to you. Sunlight in the early evening hours may help you stay awake and alert later in the day. Remember to practice good sleep hygiene—this means no TV in bed, no caffeine in the evenings, and no exercise within a few hours of going to sleep. Also, try to avoid naps as a crutch to help you stay awake until your bedtime—you might find yourself unable to sleep at night and even more tired the next day. So, when do I know if the changes in my sleep aren’t normal? It’s im-

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portant to keep in mind that there are possible medical causes for the changes in your sleep. Chronic medical conditions, such as congestive heart failure or arthritis, could be affecting the quality of your sleep; other conditions include sleep apnea and restless leg syndrome. If you have a chronic medical condition, ask your doctor to explore it as a possible concern; treating the underlying condition could dramatically improve your sleep. Also, if you are constantly tired despite adequate sleep, losing weight without trying, or are having symptoms such as fevers or night sweats, see your doctor as soon as possible. While an underlying infection or malignancy is unlikely, it is better to explore such possibilities sooner rather than later. What can I do now? Practice proper sleep hygiene, sleep at the same time each night, and listen to your body. If you wake up feeling rested, you are probably doing the right things. If not, evaluate whether you are doing everything you can to get proper sleep. If you are and are still having difficulties, see your doctor for more advice and assistance. ❦ Neha Yakhmi, UTCOM, MD Candidate 2014, on behalf of The Academy of Medicine of Toledo and Lucas County.

Help available for children with FASD, by Christine A. Holliday

ouble ARC, sponsored by the Sisters of Notre Dame of Toledo, is a small group that is having a large impact on the families of children with Fetal Alcohol Spectrum Disorders, the name given to the range of effects that can occur in an individual whose mother drank during pregnancy. FASD occurs in 1 of 100 children born to mothers of all races, ages, levels of education, and socioeconomic groups. There is no cure for FASD. Eighty percent of those with FASD show no outward physical manifestation, and parents may have no idea why their seemingly normal infant or child exhibits developmental delays and/or inappropriate behavior. Sister Suzette Fisher, an FASD Specialist, recalls the impetus for the beginning of Double ARC. “Our sisters were teaching in central city schools and were talking about the children coming up,” she explained. “The strategies they were using to reach those children weren’t working. These were experienced teachers who wondered if we could find

someone to help us understand what was going on with these children. We wondered if these were the crack babies of the ’80’s.” Sr. Suzette and a colleague attended a Perinatal Substance Abuse Conference where they heard Dr. Ken Jones, who named Fetal Alcohol Syndrome in 1973, describe and validate the symptoms of FAS. This turned out to be an “aha” moment. The sisters came back to Toledo and began learning more about Fetal Alcohol Syndrome and sharing it with teachers and others. They learned that alcohol was more damaging to the brain than any other drug including cocaine. Soon after, Double ARC’s mission became to serve children with FASD and their families through education, intervention, and advocacy. They are the Ohio affiliate of the National Organization on Fetal Alcohol Syndrome and are well-known for their work in this area. Everyone knows drinking during pregnancy is not recom-

mended. Officials at Double ARC would like to encourage all women who think they might be pregnant or who are considering becoming pregnant to avoid drinking alcohol. They have seen the effects on individuals prenatally exposed to alcohol and the resulting impact on the lives of their families. FASD involves permanent brain damage of some kind. Individuals with FASD can have normal intelligence but have difficulty functioning in daily life. That shows itself in problems with memory, impulse control, attention, understanding abstract concepts, self-regulation, sensory issues, and poor friendshipmaking skills among others. Often individuals with FASD have difficulty understanding cause and effect and the consequences of their actions. They may have cognitive and developmental delays and usually behave much younger than their chronological age. They feel like they ’re always in trouble and don’t know why. There are physical manifestations

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of Fetal Alcohol Syndrome (FAS) (facial abnormalities, for example), but only 20% of these individuals look “different,” which makes the diagnosis difficult. There is no lab test to help in the diagnosis, and it is easily confused with other disorders marked by some of the same behaviors, including problems controlling the emotions, understanding and following directions, and learning and remembering. Parents with other children who have responded well to their parenting methods will be puzzled when those same techniques don’t work with these children. That is where Double ARC can

help. The group has a team of experts, all volunteers in private practice who donate their time and expertise, who are able to evaluate children who have been prenatally exposed to alcohol using Seattle’s four-digit diagnostic code to verify that the child does have a diagnosis on the Fetal Alcohol Spectrum. Double ARC can recommend appropriate supports and interventions for the child and can provide case management and ongoing support. Those supports include classes

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44 October 2013 / Healthy Living News

for parents and children. Their Children’s Friendship classes help children with FASD learn friendship-making skills and provide their parents with companion information to help their children practice the new skills. The 12-week course is for children ages 9-11, with a fee of $199/child. These classes are held at the Discovery Academy (the former Mary Immaculate School) at 3835 Secor Road. Parents of teens are encouraged to help their 13- to 17-year-olds navigate the challenges of electronic communication, bullying, rejection, and rumors and gossip. Classes for those parents and children are also offered in a 12-week session that meets on Mondays in January, February, and March. The cost is $239/child. Learning that their child has a diagnosis on the fetal alcohol spectrum can be quite traumatic for parents, but many find answers and consolation by attending the one-hour Parent Support Group meetings, held at Double ARC on the second Wednesday of each month between September and June. Triumph classes give information about the characteristics of FASD, strategies for dealing with children who exhibit inappropriate behavior, and ways for parents to cope. Those classes will be offered in fall of 2013 on October 3, 10, 17, and 24 and November 7 and 14, as well as during winter 2014 on February 6, 13, 20, and 27.The $129 fee includes a workbook and class time from 6:00-8:00 p.m. Babysitting is available during these classes. Parents are also invited to join teachers and service providers for workshops. The 2013-2014 workshops include FASD in Adolescents (offered November 6, 2013 from 6:00-8:00 p.m. and again Wednesday, March 26, 2014 from 6:00-8:00 p.m.) and How to Say “No” Without Saying “No” (offered Thursday, December 5, 2013 and Thursday, April 3, 2014.) These workshops offer strategies for helping young people with FASD negotiate their teen years, and professional participants will earn 2.0 contact hours and a certificate of attendance. Cost: $45. In addition to the classes and workshops for children and parents, Double ARC offers workshops for service providers, school professionals, workers in the judicial system, and those in the medical and allied professions. FASD Specialists from Double ARC are available to accompany parents and students to IEP and other school meetings, placement

meetings, and juvenile justice hearings. They’re also available for phone and/or face-to-face consultation. Double ARC is located at 3837 Secor Road in Toledo. Information about their services, classes, and prevention efforts is available by calling 419-479-3060 or at www.doublearc. org. ❦ Chris Holliday is a freelance writer and regular contributor to Healthy Living News.

LeMoyne Mercer

A Walk in the Park

Mimi hears a moo

here are many kinds of magnificence in this country. Shirley and I love the national parks where magnificence is the perpetual theme. But we are also fond of somewhat less-traveled-by pleasures. In August, after two weeks in Yellowstone and a week in Grand Teton National Park, we headed down through the spectacular Snake River Canyon and then about 20 miles on a gravel road up the Greys River in Bridger National Forest. Almost all Forest roads are gravel, some better than others. This is a highly recommended road. Not by me. There are several Forest Service campgrounds along the Greys. Nobody uses them. Really. Even so, there is a surprising amount of traffic

Dispersed camping includes no amenities. Except, of course, the beauty of the setting, the wildlife, the sound of the river flowing by, the privacy, the...

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on that gravel road paralleling the river. White pickup trucks with king cabs pulling horse trailers. White pickup trucks with king cabs pulling campers. White pickup trucks with king cabs pulling drift boats. And Mongol hoards of ATVs. Nobody uses the campgrounds even though they are only $10 or $5 with a geezer pass. Why spend $10, or even $5, when the Forest Service permits “dispersed camping” for free? The campground fee gets you a place to park your vehicle, a picnic table, a steel fire grate or grill, and access to water and a vault toilet. But it is not just about the fee. Dispersed camping, or boon docking, is a different experience from living in a designated space in a formal campground. If you have an RV with

on-board water and toilet, you might be willing to give up the picnic table and grill in exchange for the right to hunt for your own private place off the road, down by the river. So we did. There was a narrow dirt road leading from the gravel road to a wide, flat space right on the Greys. We met a few cows along the way because Forest Service land in the West often serves as “open range” for cattle and sheep. You need to drive cautiously. Deer and elk tend to bound out of the way. Cows and steers, like their cousins the bison, tend to just stand in the road and look at you. A few hours later, after fishing the Greys, we were joined by 15 or 16 cows that announced their arrival with a chorus of moos as they descended from the forested mountainside to feed by the river. Two of them acted surprised to find us along their accustomed route and ambled around our site, looking back over their shoulders at us. They entered a thicket of willow shrubs and turned around to poke their heads out for yet another look. Before frying our pork chops (no beef that night!) Shirley hears a moo on the Greys River. She took her glass on the Coleman, we took and just sat there watching the cows. I know. Dull ain’t it. our chairs to the river bank,

This fox was hunting ground squirrels. Successfully, as it turned out. (But you don’t want to see that.)

poured a couple, and sat there watching them back. I know. Dull ain’t it? In a recent installment of this column, I mentioned the roundup in the Bighorn Mountains. Similarly, on our way up the Greys, a rancher with two dogs was gathering the cows and pushing them farther into the high country. Later, when it was almost dark, we heard a mournful moo accompanied

by what sounded like the braying of a donkey. Gradually, the sounds drew closer until it was clear the mooing and braying were coming from the same beast. A large Black Angus steer had evidently been left behind. There were no answering moos. That lonesome steer sounded quite pathetic. The occasion was memorable also because we had never before heard a bovine that sounded like a donkey. (Subsequent research revealed that distressed cows are capable of all kinds of strange vocalizations.) The experience got me to thinking about how often our most memorable camping experiences are connected with cows. Years ago, we were backpacking with the girls on the Appalachian Trail out in the western tip of Virginia near Rhododendron Gap. One morning, I sent them to pick wild blueberries to put on our pancakes. A number of cows were curious about what we were up to

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UTMC’s Gardner-McMaster Parkinson Center seeks support in Michael J. Fox Foundation challenge

he Gardner-McMaster Parkinson Center (GMPC) at The University of Toledo is seeking community support as it competes in the Michael J. Fox Foundation “Fox Trial Finder Challenge.” The foundation named for actor Michael J. Fox is on a mission to gather as many Parkinson’s research volunteers and supporters as possible through Fox Trial Finder. Over 20,000 have registered so far, with a goal of 30,000 by December 31, 2013. Toledo’s Gardner-McMaster Parkinson Center is competing with other nationally known Parkinson’s centers in the challenge, including Baylor, Cornell, the Mayo Clinic, and the University of Southern California. The site that refers the largest number of registrants by December 31 wins a complimentary event open to the Parkinson’s community that will offer research updates and a presentation by

a member of the Michael J. Fox Foundation staff. To take part in the challenge, go to www.michaeljfox.org/ftfchal lenge and type in your email address. You are not required to enter all of your information and be considered for a clinical trial, but there is a link provided if you would like to fully register. You do not have to be a Parkinson’s patient. You can be a friend, family member, caregiver, or just an enthusiastic supporter of the Gardner-McMaster Parkinson Center. The Gardner-McMaster Parkinson Center at the University of Toledo is an interdisciplinary organization dedicated to providing comprehensive, compassionate, and state-of-the-art services to people with Parkinson’s disease and other movement disorders and their families. For questions regarding this program or other clinical trial research at the GMPC, please contact Stephanie Wilson, RN, MSN, CCRC, at stephanie.wilson@ utoledo.edu or call 419-383-6728.

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and wandered into camp with wide cow eyes and erect ears. They had no evil intent. Still, it seemed prudent to shoo them away before they stepped in our breakfast or contributed a cow pie to the meal. We have had cow encounters along the Cimarron River in Colorado, the Green River in Wyoming, and in Utah between Capitol Reef and Canyonlands. They are just part of the charm of dispersed camping.

The other pleasures include solitude, scenery, wildlife, and amazingly good sleeping. At home, we have a Sleep Number bed that adjusts to our individual comfort levels. In the RV, we have a foam-padded bed that comes with the sound of wind through the lodge pole pines, the whisper of aspen leaves, and the river rushing between boulders. One bed is really good. The other bed is really better.

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One of our most memorable experiences with dispersed camping was four years ago when the campgrounds in Zion were full when we arrived. (It was the week after Labor Day, and I expected most campers to be back to work or school.) A ranger said that if we didn’t mind camping for free, we could find a spot on the Virgin River a couple miles downstream. Indeed, we found a magnificent place beneath the red cliffs, right at the edge of the river. Since then, the decision had been deliberate rather than forced. This year, we also went about eight miles up Granite Creek where there was a simply lovely opening back in the lodge poles with plenty of shade

and views of the mountains that you would find hard to believe. Within less than a five-minute span, a bald eagle went by, low over the creek, and then two red-shouldered hawks rode the thermals straight up until they were out of sight. Mimi did not hear any moos along Granite Creek, but the sheer beauty of the setting more than made up for that. After dinner, we built a fire and enjoyed a glass of Port as the temperature dropped. At night in the Wyoming mountains, it is often in the upper 30s and low 40s even in August. A gentle breeze carrying the scent of pine reminded us, as if we needed reminding, that dispersed camping can be just a walk in the park. ❦

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46 October 2013 / Healthy Living News

ccasionally, Shirley and I have travel experiences that make us question the qualifications of some for inclusion in Homo sapiens—Man the wise. Deviation from wisdom that seems especially egregious merits inclusion in a sub-species Boobis americanis –the native American fool. In their defense, sometimes the boobs are not solely responsible for their behavior. At Colter Bay in Grand Teton National Park, we met two young men who explained that they were employed by the National Park Service to determine scientifically how far you can see a grizzly bear in the woods. One of them carried a plywood silhouette painted black representing a life-size grizzly. His partner, with clipboard and long roll of measuring tape, was to record how far away he could see the “bear.” It seems to me that the problem from a scientific perspective is that there are something like 14 million variables. How thick is the undergrowth? How big are the trees? What kind of trees are they? How close together do they grow? Is the sun in your eyes or at your back? I suggested that, while they were at it, they might hang up a roll of Charmin to confirm that bears really do do it in the woods. The one with

the silhouette acknowledged that there were some obvious flaws in the premises behind the “research” but the pay was the same whether they agreed with those premises or not. In other words, they were just following orders. Somebody higher up undoubtedly received a government grant to conduct this critical research. A week later, Shirley and I had occasion to conduct our own parallel research. We had driven up the Gros Ventre River to where it spills out of Slide Lake. Down a steep gravel road, we found a turn-around where a stone fire ring indicated that campers and anglers used the area. And so did someone else. As we looked for a path through the underbrush down to the river so we could fish, Shirley said, “Oh! There’s a bear!” Less than 50 feet away, a cinnamon grizzly with blonde shoulders emerged from four-foot-tall willow bushes. Fortunately, he showed no interest in us whatsoever. He obviously knew we were there before he revealed himself and was neither surprised (bad) nor perturbed (worse). Unfortunately, we were carrying neither camera nor bear spray, so we moved calmly but deliberately back

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to the RV. Running just makes you look like prey, and you can’t outrun a bear anyway. So, how far can you see a bear in the woods? If the willows are more than four feet tall, the correct scientific answer is that you can’t see him at all until it is far too late to matter.

And speaking of bears… If you have been hiking or fishing in Wyoming, Montana, or Idaho, you may have purchased bear spray as a precaution. Because grizzlies have been known to become aggressive if startled or they feel threatened, an investment of $40 in deterrent is a good idea. Bear spray’s active ingredient is capsaicin—pepper. Think of it as Mace for Ursus horrilibis. You don’t have to actually hit the bear with

the spray. It is allegedly sufficient to just spray a cloud of it in front of an aggressive bear. The irritation to its eyes and highly sensitive nose is supposed to do the job. (If the bear thinks you taste even better with pepper, just take the canister back for a full refund.) Our second Boobis americanis nominee this month is the lady in the Tetons who used the bear spray on her children. Evidently, she thought bear spray is like insect spray that you use on yourself to repel mosquitoes. Ten seconds reading the label might have proved beneficial. I’m betting the kids have a national park memory for a life time. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Mercy launches convenient, cuttingedge imaging services in Arrowhead Park

eople’s schedules today are more hectic than ever before. To keep pace with all their career, family, and social obligations, they have to get things done quickly and efficiently— even when it comes to their health care. Physicians and other practitioners recognize this trend, as well, and strive to provide the most timely and convenient care and services possible to their patients without compromising on quality. In fact, health care in general is moving steadily toward a more localized, outpatient-based model, especially in areas such as imaging.10.25x4_ES_USNewsAd_HL_513.pdf 5/30/13

Tomography (CT), ultrasound, Magnetic Resonance Imaging (MRI), and x-ray services in a tranquil, welcoming environment. What’s more, the new facility is located in the midst of one of our region’s fastest growing areas, where many local businesses flourish, and is very convenient to expressway access and parking. “Mercy Imaging Ser vices—Arrowhead was designed to be very patient friendly and comfortable, and considerable effort went into creating a calming, relaxing atmosphere that helps reduce patient anxiety,” explains Sandy Michalski, MBA, BS, RT(R), the facility’s manager. “For example, when patients lie on the MRI table and look up, they see a skylight effect that creates the impression of a bright-blue sky with clouds, and the lighting and color scheme on an adjacent wall evokes a serene beach scene. Also, the layout of the building itself is very open and allows plenty of natural light to stream in.” All of the equipment at Mercy Imaging Services—Arrowhead is on the cutting edge of technology. The facility’s 1.5T MRI is considered

To help meet this changing demand for both patients and providers in our community, Mercy recently opened a new 7,700-square-foot, state-of-the-art imaging facility in Maumee’s Arrowhead Park. The new center, called Mercy Imaging Ser12:28:45 PM vices—Arrowhead, offers Computed

open, featuring a larger, shorter bore, which helps soothe patients who have claustrophobic tendencies while producing images of the same quality as those produced by standard closed-bore MRI units. The CT scanner is designed to get exceptional images while minimizing radiation exposure to the patient. Owing to the software utilized and the manner in which the scanner reconstructs images, a lower dose of radiation can be used without compromising image quality. The x-ray machine is digital, which reduces the radiation dose, as well. “We also have the ability to do standing x-rays and image pasting,” Michalski says. “With this technology, we can take pictures of the entire spine or lower extremity and then special software stitches the pictures together into one seamless image. We can, for example, use this technology to image pediatric patients with scoliosis. Or, we can use it for patients scheduled to undergo a hip or knee replacement so their orthopedic surgeon can visualize the joint in relation to the entire body while the patient is standing.” Patients seeking imaging services almost always ask how soon their results will get to their doctor. At Mercy Imaging Services—Arrowhead, the answer to that question is very promptly. The average turnaround time for any procedure is about four hours. Furthermore, before leaving the facility, all patients undergoing

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imaging services are given a disk containing their images, which they can share with their primary care physician or any specialists as needed. In addition to state-of-the-art imaging, Mercy Imaging Services— Arrowhead offers outpatient lab services from 8:00 a.m. to 4:30 p.m., Monday through Friday. Also, beginning September 30, the facility will be providing occupational health services, so workers can go there for treatment of occupational illness and/ or injury, all physical examinations including DOT, drug and alcohol

testing, and return-to-work examinations. Michalski emphasizes that Mercy Imaging Services, while a freestanding center focused on meeting patient’s needs for easy access in a convenient location, is affiliated with Mercy St. Vincent Medical Center. “That means a radiologist is always just a phone call away, any time we need a consultation,” she says. ❦ For more information on Mercy Imaging Services—Arrowhead, please call 419794-4770.

Northwest Ohio chiropractic physicians to sponsor screening of Doctored

orthwest Ohio chiropractic physicians are sponsoring a onetime showing of the eye-opening documentary film Doctored at 7:00 p.m., Oct. 10 at Maumee Indoor Theatre, 601 Conant St., Maumee. Doctored follows surgeons, physicians, and patients ranging from Olympic Gold Medalists to people sent home to die, focusing on how the current healthcare system fails many patients. Doctored also follows a 15-year legal battle (known as the Wilk case) where the American Medical Association’s (AMA) attempts to abolish non-drug-providing therapies (including chiropractic care) are exposed. “Although the United States only makes up five percent of the world’s population, we consume over 50 percent of the world’s pharmaceutical drugs, yet our health is worsening,” said Dr. Thomas M. Baur, chiropractic physician at New Life Spine Center, 1331 Conant St., Maumee. “For years, certain doctors have told their patients that medicine or surgery is the only way to go and they have belittled alternative therapies. We have decided to show this film to support

the findings of this documentary and to open up a conversation in Northwest Ohio about true patient-focused healthcare.” Director Bobby Sheehan and Producer Jeff Hays investigate the unseen “influencers” in the current healthcare system: those who stand to benefit financially from turning patients into compliant, pill-popping revenue generators. They bring forth shocking details of how the AMA worked for decades to denounce the chiropractic profession for their own professional gain. They go in the courtroom with five chiropractors who had been labeled “an unscientific cult” and document their fight and landmark win against “big medicine.” “As chiropractors, we understand the importance and roles medicine and surgery play in patient care,” said Dr. Cindy Ratkowski, president of the Northwest Ohio Chiropractic Association and chiropractic physician at Advanced Wellness and Chiropractic Center, 3425 Executive Pkwy., Toledo. “But we also know that many patients are issued these solutions without exploring alterna-

Northwest Ohio Chapter

48 October 2013 / Healthy Living News

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tives first. We promote whole-health care, prevention, and a fully realized continuum of care—and we feel patients are often herded in and out of doctors’ offices and issued medications and directives with no real desire on the physician’s part to delve into the issues of what is causing the pain or illness, how to best treat it, and even better, how to prevent it.” “Ideally, patients should have a network of health professionals working for their betterment, whether it’s prevention or treatment,” said Dr. Jay P. Anderson, chiropractic physician at Anderson Family Chiropractic, 751 Michigan Ave., Waterville. “This film reveals the shortcomings in the current healthcare system and proves that not all medical professionals are working in the best interest of the patient. We want to educate patients about all their options and work to create a more cohesive healthcare system—because we know drugs alone are not working.” Doctored will kick off with food, refreshments, and live music by the Linden Street Band at 6:30 p.m. Admission is $5, and all profits benefit the Arthritis National Research Foundation (CureArthritis.org). Moviegoers will be treated to organic popcorn, water, and prize giveaways through-

out the event. “We hope members of the community will join us to learn more, particularly about how to navigate the best care,” said Dr. Mickey E. Frame, chiropractic physician at Frame Chiropractic and Acupunc-

ture, 3829 Woodley Rd., Toledo. “In Northwest Ohio, chiropractors and all types of physicians already work together to provide comprehensive healthcare, and we want this movie to motivate patients and doctors alike to continue to move forward

positively.” Doctored is also available on DVD for $10 at local Northwest Ohio chiropractic physician offices. For more information about the movie or about chiropractic care, visit nocachiro.org. ❦

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When I had a heart attack, the people at Mercy St. Vincent knew time wasn’t on my side. Within 25 minutes, the cardiologist started clearing the blockage and saved my life. They also knew I’d need help making some changes to my diet and lifestyle, and now the people at Mercy St. Charles are helping me live healthier. Because I’ve got lots of living left to do. I’m Durrell, and Mercy gets me.

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